Search Results
Last Update: Thursday, December 19, 2024 3:44 AM CST
Next Update: Thursday, December 19, 2024 12:00 PM CST
Return to Search Licensees page
|
ROTH, JONATHAN BENJAMIN
|
|
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
|
| Practice Address: |
2000 EAST 15TH STREET 150A
EDMOND OK 73013
Address last updated on 7/3/2024 |
| Phone #: |
(405) 348-6500 |
| Fax #: |
(405) 348-6501 |
| County: |
OKLAHOMA |
| License: |
26618 |
| Dated: |
9/1/2008 |
| Expires: |
9/1/2025 |
|
Temp.
Lic.
Issued:
|
7/17/2008 |
|
Temp.
Lic.
Expires:
|
9/19/2008 |
| License Type: |
Medical Doctor |
| Specialty: |
Developmental-Behavioral Pediatrics |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Mt Sinai Sch Of Med of NY Univ, New York Ny 10029 |
| Graduated: |
6 /
1984 |
| CME Year: |
2026 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF PEDIATRICS |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Contact licensee |
| |
|
| HMO/PPO: |
Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
CCN Managed Care
CIGNA HMO
CIGNA PPO
Coventry Health Care National Network
First Health
Global Health HMO
Great West Healthcare
HealthChoice
Multiplan PPO
Oklahoma Health Network PPO
One Health Plan PPO
OSMA Health (formerly Plico PPO)
Pacificare Commercial HMO
PacifiCare of Oklahoma, Inc
Prime Advantage Health Plan
Prudential Health Care Plan, Inc
Secure Horizons HMO
SoonerCare HMO
SoonerCare PPO
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS
United Insurance |
| Hospital Privileges: |
None listed |
|
|
|
|
Return to Search Licensees page
