Dr. Justin Stephan Roth, DO
Dr. Justin Stephan Roth, DO is an Orthopedic Surgery in Meridian, Idaho. Qualified in 2012, 14 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Oregon.
- Years since qualifying
- 14
- Licensed in
- ID, OR
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
3399 E Louise Dr Ste 200Meridian, ID 83642-5212
Phone: (208) 706-2663
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 4625 Lindell Blvd, Suite 420, St. Louis, MO 63108-3927 — (314) 747-2555
- 2200 Ne Neff Rd Ste 200, Bend, OR 97701-4281 — (541) 382-3344
Specialties & licences
| Pediatric Orthopaedic Surgery Physician (primary) | Taxonomy 207XP3100X · Licence O-1847 (ID) |
|---|---|
| Pediatric Orthopaedic Surgery Physician | Taxonomy 207XP3100X · Licence 187405 (OR) |
Record details
| NPI number | 1306109954 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | June 19, 2012 |
| Last updated in NPPES | July 28, 2023 |
| Certification date | July 28, 2023 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Medicare enrollment
| Medicare specialty | ORTHOPEDIC SURGERY |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |