John J Roach, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10220 Issued in WA

Practice address

2616 24TH Ave E
Seattle, WA 98112-2002

Phone

(206) 324-5271

NPI assigned

Jul 30, 2010

Last updated

Jul 30, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1477867588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 24TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122002",
            "telephone_number": "206-324-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 24TH AVE E",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981122002",
            "telephone_number": "206-324-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "10220",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "23424",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumhee A Ro, ARNP
• Ai O Roach, BCBA
• Aneke Roach, LM
• Christopher Gordon Roach, PA-C
• Cindy Sue Roach
• Road to Healing Psychiatric LLC
• Florence Roan, MD
• Roanoke Park Counseling
• Diana Roar, MA 60758945
• James F. Roark Jr., M.D.

• Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.