Active NPI
Warren P Roche Jr., MD
- Internal Medicine Physician
- Horseshoe Bay, TX
National Provider Identifier
1255315164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J8742
- Practice address
- 100 Pecan Crossing
Horseshoe Bay, TX 78657 - Phone
- (830) 598-4405
- Fax
- (830) 598-5172
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J8742 | TX | Primary |
| Family Medicine Physician | 207Q00000X | J8742 | TX |
Addresses
Primary practice location
100 Pecan Crossing
Horseshoe Bay, TX 78657
Mailing address
200 W Ollie
Llano, TX 78643-2628
Phone (325) 247-5040
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82372 | Other | TX | SCOTT AND WHITE |
| 042989604 | Medicaid | TX | |
| 8F9830 | Other | TX | BCBS |
| 042989602 | Medicaid | TX | |
| 130874101 | Other | TX | FIRSTCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J8742 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1255315164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W OLLIE",
"city": "LLANO",
"state": "TX",
"postal_code": "786432628",
"telephone_number": "325-247-5040",
"fax_number": "325-248-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 PECAN CROSSING",
"city": "HORSESHOE BAY",
"state": "TX",
"postal_code": "78657",
"telephone_number": "830-598-4405",
"fax_number": "830-598-5172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "WARREN",
"middle_name": "P",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J8742",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J8742",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCOTT AND WHITE",
"identifier": "82372",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042989604",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F9830",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "042989602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "130874101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Horseshoe Bay, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.