Provider Demographics
NPI:1710959333
Name:ROLAND, JAYSON (MD)
Entity type:Individual
Prefix:DR
First Name:JAYSON
Middle Name:
Last Name:ROLAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 W GALBRAITH RD STE 220
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-6002
Mailing Address - Country:US
Mailing Address - Phone:513-246-7337
Mailing Address - Fax:513-522-6147
Practice Address - Street 1:740 W GALBRAITH RD STE 220
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-6002
Practice Address - Country:US
Practice Address - Phone:513-246-7337
Practice Address - Fax:513-522-6147
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY219440-12080A0000X
OH35.137998208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02164827Medicaid