Andrew Patrick Roche III, MD

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

31110 Issued in NE

Practice address

1599 Jones St
Grand Forks, ND 58205-6306

Phone

(701) 747-5504

NPI assigned

Jun 26, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1134649684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 JONES STREET",
            "city": "GRAND FORKS AFB",
            "state": "ND",
            "postal_code": "58204",
            "telephone_number": "701-747-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 JONES ST",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582056306",
            "telephone_number": "701-747-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "ANDREW",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-26",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NE",
            "license": "31110",
            "primary": true
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Aaron Robin, APRN, CRNA
• Amy Jo Robinson, MS, CCC - SLP
• Jennifer Mae Robinson
• Leanne M Robinson, LSW
• Sarah Ann Robinson, MS, CCC-SLP
• Conor Scott Roche, M.D
• Ian Roche, MD
• Kyle Matthew Rockers, MD
• Brianna Rocksvold
• Leslie Erica Rodriguez, NP-C

• Aerospace Medicine Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Aerospace Medicine Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.