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

Nathan Thomas Roth, MD

Individual provider Diagnostic Radiology Physician · NPI 1215164348

Nathan Thomas Roth, MD is a Diagnostic Radiology in Jacksonville, Florida. Graduated from University of Miami, Lm Miller School of Medicine in 2009, 17 years ago. Practices with Doctors McClow Clark and Berk PA, a 22-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
17
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
FL
In the registry since
2009
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

1800 Barrs St Radiology Dept
Jacksonville, FL 32204-4704
Phone: (904) 308-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME123322 (FL)

Record details

NPI number1215164348
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 16, 2009
Last updated in NPPESAugust 14, 2023
Certification dateAugust 14, 2023
Mailing addressPo Box 161180, Altamonte Springs, FL 32716-1180

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Doctors McClow Clark And Berk Pa — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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