NPI 1295543262

Samantha Roth, PA

Practitioner Physician Assistant Cottage Grove, MN

Practice location

Address: 8611 W Point Douglas Rd S, Cottage Grove, MN 55016-4005
Phone: (651) 458-1884
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 15237 (MN)

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Registry record

NPI: 1295543262
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2024
Record last updated: 5 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.