Individual provider · Type 1 NPI

Samantha Roth, PA

Physician Assistant · Cottage Grove, MN

NPI number 1295543262 Active

Practice location

8611 W Point Douglas Rd S
Cottage Grove, MN 55016-4005

Call (651) 458-1884 Map

Mailing address

2925 Chicago Ave
Minneapolis, MN 55407-1321

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X15237 (MN)

Physician Assistant: 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, orde…

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About NPI 1295543262

Samantha Roth, PA's National Provider Identifier is 1295543262, issued on Dec 23, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cottage Grove, MN. The record was last updated on Mar 5, 2026.