Individual provider · Type 1 NPI

Mackenzie Nicole Roth, PA-C

Physician Assistant · Fairfield Township, OH

NPI number 1497660518 Active

Practice location

3035 Hamilton Mason Rd Ste 206
Fairfield Township, OH 45011-5545

Fax (513) 451-1356

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397

Other practice locations

  • 110 N Poplar St Ste 101, Oxford, OH 45056-1204 · (513) 853-1300

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.010528RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1497660518

Mackenzie Nicole Roth, PA-C's National Provider Identifier is 1497660518, issued on Aug 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairfield Township, OH. The record was last updated on Oct 9, 2026.