Kevin Roache, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD,027139 Issued in LA

Practice address

3838 N Causeway Blvd
Suite 2200
Metairie, LA 70002-8194

Phone

(504) 849-1409

NPI assigned

Sep 15, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221436800000",
    "number": "1417106469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 TIMBERCREEK LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704487531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAUSEWAY BLVD",
            "address_2": "SUITE 2200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028194",
            "telephone_number": "504-849-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACHE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "MD,027139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayden Rizer, BCBA
• James Elliot Rizer, D.C.
• Jordan Rizzo
• RJ Physician Services LLC
• Harry Allen Roach, M.D.
• Traci Solomon Roane, CCC-SLP
• Maya M Robair, OPTICIAN
• Savannah Noelle Robbins
• Shannon Burke Robeaux
• A'Layla Jade Roberson

• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.