Jonathan Roth, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

26618 Issued in OK

Practice address

2000 E 15TH St
150A
Edmond, OK 73013-6697

Phone

(405) 348-6500

Fax

(405) 348-6501

NPI assigned

Jan 16, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jonathan B Roth LLC

  • Pediatrics Physician
  • Edmond, OK
  • NPI 1871891853
  NPD (past) Authorized official

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1255517660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "150A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697",
            "telephone_number": "405-348-6500",
            "fax_number": "405-348-6501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E 15TH ST",
            "address_2": "150A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136697",
            "telephone_number": "405-348-6500",
            "fax_number": "405-348-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTH",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "26618",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "236223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John P Ross, MD
• Mary Ross
• Sherry L Ross, DPH
• Kristina Grace Rossetti Shekouh
• Madison Sunshine Rosson, PA-C
• Ginger Shae Routt
• Aya Louisa Rowe, DC
• Daniel Ray Rowe, D.C.
• Kellen Rowe, DC
• Linda Sue Rowe, RPH

• Pediatrics Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.