Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA YVONNE ROTH
ActivePediatrics · SCOTT DEPOT, WV
Registration Details
- NPI Number
- 1306588413
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2022 (4.0953490593547 yrs)
- Last Updated
- Jul 24, 2025
- License
-
35178 (WV)
Practice Information
- Address
-
300 CORPORATE CENTER DRIVESCOTT DEPOT, WV, 255609026Browse WV providers · Browse ZIP 25560
- Phone
- 3046916800
- Fax
- 3046916751
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in SCOTT DEPOT, WV
| Name | Credential | NPI |
|---|---|---|
| ANGELA BETH FERGUSON | MD | 1366420614 |
| MARY J BAILEY | M.D. | 1295953065 |
| DR. JORDAN A NASH | MD | 1437384161 |
| DR. SUSANNA A. KAPOURALES | M.D. | 1265726681 |
| ABDULLAH SHABAREK | MD | 1205331410 |
| ALLYN MORGAN KING SMALL | MD | 1689134843 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.