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

Nicholas Connor Roth

Individual provider Surgery Physician · NPI 1437908134

Nicholas Connor Roth is a Surgery Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

701 N 1st St
Springfield, IL 62702-3757
Phone: (217) 545-4401
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 125083173 (IL)

Record details

NPI number1437908134
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address701 N 1st St, Springfield, IL 62702-3757

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