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

Jay S. Roden, MD

Individual provider Pediatric Surgery Physician · NPI 1093898447

Jay S. Roden, MD is a Pediatric Surgery Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2006.

Licensed in
TX
In the registry since
2006
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

12200 Park Central Dr Ste 400
Dallas, TX 75251-2116
Phone: (214) 483-9300
Fax: (214) 483-9301
Show map & directions

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

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence G0019 (TX)

Record details

NPI number1093898447
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 21, 2006
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020
Mailing address12200 Park Central Dr Ste 400, Dallas, TX 75251-2116

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