Jennifer D. Roberts DO LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

JENNIFER D. ROBERTS DO LLC

Practice address

1735 27TH St Ste 206a
Portsmouth, OH 45662-0009

Phone

(740) 353-3196

Fax

(740) 353-1298

NPI assigned

May 10, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer D Roberts, DONPI 1073734539

Title

President

Phone

(740) 353-3196

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer D Roberts, DO

  • Obstetrics & Gynecology Physician
  • Portsmouth, OH
  • NPI 1073734539
  Medicare reassignment Care Compare group NPD Authorized official
• Darienne N Liles, CNM

  • Advanced Practice Midwife
  • Portsmouth, OH
  • NPI 1548917099
  Medicare reassignment Care Compare group NPD
• Yong Duck Song, MD

  • Obstetrics & Gynecology Physician
  • Portsmouth, OH
  • NPI 1861470460
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1215255658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE 206A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456620009",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 27TH ST STE 206A",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456620009",
            "telephone_number": "740-353-3196",
            "fax_number": "740-353-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER D. ROBERTS DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-353-3196",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050862",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100845410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100118280",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Jenkins
• Melissa Ronelle Jenkins, RN
• Rachel Michelle Jenkins
• Sarah Beth Jenkins
• Tristin Fay Jenkins
• Amanda Jimison
• Jitendra K. Patel M.D. Inc
• John Ditraglia Inc
• John Evans MD Ophthalmology Inc
• Amanda Johnson

• Obstetrics & Gynecology Physician in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.