Dr. Angela Ruth Roth
M.D. | Pediatrics | Female
Dr. Angela Ruth Roth, M.D. is a Lewiston, Idaho based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Angela Ruth Roth is also known as
Angela Ruth Brakhage, Richmond.
Current practice location of Dr. Angela Ruth Roth is
2315 8th St, Lewiston, Idaho - 83501-7301. She can be contacted on phone at
208-746-1383 and fax number 208-746-1383.
Dr. Angela Ruth Roth is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Angela Ruth Roth is
1851323950 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 21 Jul, 2022.
Dr. Angela Ruth Roth license number is
M-13774 for Pediatrics (208000000X) in Idaho.
Dr. Angela Ruth Roth is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Angela Ruth Roth basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Angela Ruth Roth |
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| Other Name : | Angela Ruth Brakhage, Richmond |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Angela Ruth Roth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2315 8th St
Lewiston, ID, 83501-7301
United States |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-1383 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1851323950 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 21 Jul, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Angela Ruth Roth are as mentioned. Primary taxonomy code for Dr. Angela Ruth Roth, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | M-13774 | ID |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Angela Ruth Roth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1851323950 | MEDICAID | ID | |
| 2079474 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2315 8th St
Lewiston, ID, 83501-7301
United States |
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| Phone Number : | 208-746-1383 |
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| Fax Number : | 208-746-1383 |
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Business Location:
Patients can refer following map for directions to
Dr. Angela Ruth Roth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.