NPI age
13 years
Enumerated 2012-06-19
● Active
Type 1 · Individual
DR. Justin Stephan Roth, D.O.
Roth is 1 of 1 orthopaedic surgery providers in Meridian and 1 of 3 in Idaho.
Primary specialty
Orthopaedic Surgery
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 3 active orthopaedic surgery providers in Idaho.
NPI age
13 years
↓ 3 yr below median (16 yr)
State licenses
2 states
Top 0% — 100% of peers are multi-state
Subspecialties
0
100% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-06Enumerated in NPPES
2012
2026
Where they practice
Practice location
3399 E Louise Dr Ste 200
Meridian, ID 836425212
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
2200 Ne Neff Rd Ste 200
Bend, OR 977014281
Location 3
4625 Lindell Blvd, Suite 420
St. Louis, MO 631083927
Specialties
-
Orthopaedic Surgery PrimaryAn orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot,...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (OR) | 500746847 | |
| 01 (OR) | 187405 | OREGON MEDICAL BOARD |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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