Donald Roach, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

23214 Issued in WI

Practice address

13950 W Capitol Dr
Brookfield, WI 53005-2441

Phone

(414) 302-5400

Fax

(414) 305-5447

NPI assigned

Aug 21, 2006

Last updated

Nov 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1053427518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13950 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052441",
            "telephone_number": "414-302-5400",
            "fax_number": "414-305-5447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13950 W CAPITOL DR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052441",
            "telephone_number": "414-302-5400",
            "fax_number": "414-305-5447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "DONALD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "23214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30444800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Everett Rimer, LPC, CSAC
• Erin Rinderle, MSW, APSW
• Flora Ripp
• Michelle P Ristau, PT
• Hallie Mackenzie Ritchay, SLP
• Haley Roach
• Robert E. Schoen, D.O., S.C.
• Robert G. Saur, D.D.S., S.C.
• Robert M. Dhein, M.D., S.C.
• Allison Roberts

• Internal Medicine Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.