GEORGE J ROTH PA-C - NPI 1073720124 - Physician Assistant in Fruitland, ID

Q: What is George Roth's NPI number?

The NPI number for George Roth is 1073720124. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Q: What is George Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for George Roth was last updated on September 13, 2012, 13 years ago. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About George J Roth Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE J ROTH PA-C (NPI 1073720124) is an individual physician assistant in Fruitland, Idaho, licensed in Idaho (PA-97) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1073720124

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameGEORGE J ROTHCredential: PA-C

Location Address1210 NW 16TH STFruitland, ID 83619-2202

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222

Phone(208) 452-8600

Fax(208) 452-8601

Sole ProprietorNo

Enumeration DateMay 17, 2007

Last NPPES UpdateSeptember 13, 2012

✔ NPI 1073720124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in ID · PA-97

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1210 NW 16TH ST, Fruitland, ID 83619

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS LANDON HELM PA-C

Physician Assistant