Michael James Roche, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06005 Issued in NC

Practice address

1511 Westover Terrace Suite 107
Preferred Pain Management and Spine Care P.a.
Greensboro, NC 27408-7128

Phone

(336) 398-5155

Fax

(336) 398-5153

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Medicine of the Carolinas PLLCGroup PAC ID 5890194682, 7 clinicians

Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.roche@wsps.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rehab Medicine of the Carolinas PLLC

  • Physical Medicine & Rehabilitation Physician
  • Clemmons, NC
  • NPI 1265014849
  Medicare reassignment Care Compare group NPD
• Wake Spine & Pain Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Cary, NC
  • NPI 1568696748
  Medicare reassignment Care Compare group NPD
• Wake Spine and Pain Specialists, PC

  • Pain Medicine (Anesthesiology) Physician
  • Winston Salem, NC
  • NPI 1376287714
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1568415313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 MAPLEWOOD AVE",
            "address_2": "PREFERRED PAIN MANAGEMENT AND SPINE CARE P.A.",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034010",
            "telephone_number": "336-760-0706",
            "fax_number": "336-499-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 WESTOVER TERRACE SUITE 107",
            "address_2": "PREFERRED PAIN MANAGEMENT AND SPINE CARE P.A.",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087128",
            "telephone_number": "336-398-5155",
            "fax_number": "336-398-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney L Robinson, CPNP-PC
• Tia Robinson
• Robland Homecare LLC
• Michael Gavin Robson, MD
• Kimberlee R Roche, PA-C
• Jennifer Kowalsky Rock, CRNA
• Rockerfeller Crews Educational Foundation
• Toni Johnette Rockholt-Smith, DO
• Regina Jo Roczniak, PA-C
• Janet Lynn Rodden, M.ED.

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.