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

Jessica Yvonne Roth

Individual provider Pediatrics Physician · NPI 1306588413

Jessica Yvonne Roth is a Pediatric Medicine in Scott Depot, West Virginia. Qualified in 2022, 4 years ago. Licensed in West Virginia.

Years since qualifying
4
Licensed in
WV
In the registry since
2022

Practice location Address checks out

300 Corporate Center Dr
Scott Depot, WV 25560-9026
Phone: (304) 691-6800
Fax: (304) 691-6751
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35178 (WV)

Record details

NPI number1306588413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 9, 2022
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Scott Depot