Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan Roth, MD

Individual provider Pediatrics Physician · NPI 1255517660

Dr. Jonathan Roth, MD is a Pediatrics Physician in Edmond, Oklahoma. Practices as a sole proprietor. Licensed in New York and Oklahoma.

Licensed in
NY, OK
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 E 15th St 150A
Edmond, OK 73013-6697
Phone: (405) 348-6500
Fax: (405) 348-6501
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 26618 (OK)
Pediatrics Physician Taxonomy 208000000X · Licence 236223 (NY)

Record details

NPI number1255517660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 16, 2008
Last updated in NPPESFebruary 22, 2011
Mailing address2000 E 15th St, 150a, Edmond, OK 73013-6697

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