Pamela A Roach, DO, PH.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2346 Issued in TX

Practice address

6340 Lake Worth Blvd
#141
Lake Worth, TX 76135-3602

Phone

(817) 882-8700

NPI assigned

Mar 30, 2007

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1417077801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6340 LAKE WORTH BLVD",
            "address_2": "#141",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 LAKE WORTH BLVD",
            "address_2": "#141",
            "city": "LAKE WORTH",
            "state": "TX",
            "postal_code": "761353602",
            "telephone_number": "817-882-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "DO, PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2346",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "H2346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Marie Pawelek, D.C.
• Russell Pendleton, DPM
• Linda Peterson, RN
• Tommy Phan
• Anne Powell
• Maureena Thavy Sam, RPH
• Christina Renee Sherrod, MD
• Jamie K Singley, DDS
• Substance Abuse Guidance and Education, LLC
• Kristal Dawn Taylor, NP

• Family Medicine Physician in Lake Worth, TX
• Providers in Lake Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2017; 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.