Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jonathan B Roth LLC

Organization Pediatrics Physician · NPI 1871891853

Jonathan B Roth LLC provides Pediatrics Physician services in Edmond, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2011.

Licensed in
OK
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2000 E 15th St 150A
Edmond, OK 73013-6697 Not confirmed with CMS for 15 years — call before visiting
Phone: (405) 348-6500
Fax: (405) 348-6501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 26618 (OK)

Record details

NPI number1871891853
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Roth — Md · (405) 348-6500
NPI enumeratedMarch 1, 2011
Last updated in NPPESMarch 1, 2011
Mailing address2000 E 15th St Ste 150a, Edmond, OK 73013-6679

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