EARL EUGENE ROTH JR. MD
NPI 1124098579
Pediatrics in Glendale, AZ

Q: What is Earl Roth's NPI number?

The NPI number for Earl Roth is 1124098579. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Earl Roth's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Earl Roth was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. 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.

Active since January 26, 2006

5891 W EUGIE AVE, GLENDALE, AZ 85304(602) 588-6703 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Earl Eugene Roth Jr. Md NPPES

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

EARL EUGENE ROTH JR. MD (NPI 1124098579) is an individual pediatrics provider in Glendale, Arizona, licensed in Arizona (14021) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1124098579

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEARL EUGENE ROTH JR.Credential: MD

Location Address5891 W EUGIE AVEGlendale, AZ 85304-1252

Mailing Address11001 N Black Canyon HwyPhoenix, AZ 85029-4757 · (602) 371-2515

Phone(602) 588-6703

Sole ProprietorNo

Enumeration DateJanuary 26, 2006

Last NPPES UpdateOctober 11, 2007

✔ NPI 1124098579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 14021

Definition

A pediatrician 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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 14021 (AZ)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 14021 (AZ)

5891 W EUGIE AVE, Glendale, AZ 85304

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Other Identifiers 9

Medicare ID-Type Unspecified21575AZ

Medicare ID-Type Unspecified67137AZ

Medicare UPING66601AZ

Medicare ID-Type Unspecified60791AZ

Medicare ID-Type Unspecified67138AZ

Medicare ID-Type Unspecified60792AZ

Medicare ID-Type UnspecifiedWCKJMAZ

Medicare ID-Type UnspecifiedWCKHQAZ

Medicaid448424AZ

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.

DANIEL WEILER

Emergency Medicine