Mackenzie Nicole Roth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3035 Hamilton Mason Rd Ste 206
Fairfield Township, OH 45011-5545

Phone

(513) 853-1300

NPI assigned

Aug 14, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1497660518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 206",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-853-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 HAMILTON MASON RD STE 206",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450115545",
            "telephone_number": "513-853-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Poplar St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "OH",
            "postal_code": "450561204",
            "country_code": "US",
            "telephone_number": "513-853-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTH",
        "first_name": "MACKENZIE",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalee Marie Richardson, DDS
• Silva Richardson
• Idamarie Rios
• Hannah Deshea Rizvi, FNP
• Milton Ross
• Aja Mary Rowekamp
• Anita Russell
• Maria T Rutherford
• Megan Dawn Salisbury
• Etta James Salter

• Physician Assistant in Fairfield Township, OH
• Providers in Fairfield Township, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.