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

Ryan Roth, PA

Individual provider Medical Physician Assistant · NPI 1487651436

Ryan Roth, PA is a Physician Assistant in Toledo, Ohio. Qualified in 2003, 23 years ago. Practices with Promedica Central Physicians, a 784-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
23
Licensed in
OH
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2865 N Reynolds Rd Bldg A
Toledo, OH 43615-2100
Phone: (419) 578-7200
Fax: (419) 537-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.002058RX (OH)

Record details

NPI number1487651436
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 6, 2005
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address2865 N Reynolds Rd Bldg A, Toledo, OH 43615-2100

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Promedica Central Physicians — 784 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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