MARTIN G ROACH (NPI# 1043316466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043316466 |
| Entity Type | Individual |
| Full Name | MARTIN G ROACH |
| Credential | DO |
| Practice Address |
7667 Al Highway 51 Ste B Opelika AL 36804-2200 |
| Mailing Address |
7667 Al Hwy 51 Suite B Opelika AL 36801 |
| Practice Telephone | 3347375557 |
| Practice Fax Number | 3347275646 |
| Mailing Telephone | 3347375557 |
| Mailing Fax Number | 3347375646 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-04-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | DO866 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51595037 | 01 |
| TRICARE | 263751277 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 E University Dr Ste 110, Auburn, AL 368307720 | 3345022440 | 3345022460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336145978 | Martin Francis Roach | Orthopaedic Surgery | 202 10th Street Se, Cedar Rapids, IA 52403-2404 | 2005-06-27 |
| Street Address |
7667 AL HIGHWAY 51 STE B |
| City | OPELIKA |
| State | AL |
| Zip Code | 36804-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306240502 | Opelika Pediatrics & Family Clinic PC | Anesthesiology | 5809 Hwy 280e, Opelika, AL 36804 | 2014-10-16 |
| 1366929259 | Eldridge Blake Baker | Home Health | 153 Lee Road 697, Opelika, AL 36804-0443 | 2018-07-24 |
| 1225494677 | Makayla Carr | Counselor | 8196 Lee Road 166, Opelika, AL 36804-0729 | 2016-01-14 |
| 1700230208 | Deryl T Horne | Pharmacist | 285 County Road 43 S, Opelika, AL 36804-1612 | 2016-04-20 |
| 1013563139 | Brian Clay Young | Nurse Practitioner | 638 Lee Road 483, Opelika, AL 36804-1773 | 2019-08-14 |
| 1417182734 | Jamie Karyl Evans | Military Hospital | 100 N Herring Rd, Opelika, AL 36804-1861 | 2009-05-17 |
| 1992335400 | Tessa Colleen Dimick | Student in an Organized Health Care Education/Training Program | 51 Lee Road 2104, Opelika, AL 36804-2090 | 2020-01-23 |
| 1639424328 | Beauregard Drugs Inc | Pharmacy | 7667 Al Highway 51, Ste A, Opelika, AL 36804-2200 | 2012-07-18 |
| 1811595226 | Sunshine Pediatrics, LLC | Pediatrics | 3983 Nash Creek Dr, Opelika, AL 36804-4859 | 2020-10-16 |
| 1912152505 | Thomas Scott Maple | Psychologist | 609 Lismore Dr, Opelika, AL 36804-6182 | 2008-11-24 |
| Find all providers in zip 36804 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417023763 | John Reed Cooper | Family Medicine | 122 N 20th St Bldg 24, Opelika, AL 36801-5442 | 2006-11-28 |
| 1568481661 | Hiren K Patel | Family Medicine | 1941 1st Ave, Opelika, AL 36801-5403 | 2006-07-19 |
| 1992738926 | Eric Johan Hemberg | Family Medicine | 101 24th St, Opelika, AL 36801-6253 | 2006-07-10 |
| 1568071652 | Emily Sandlin Norris | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2020-07-24 |
| 1073966230 | Priya Patel | Family Medicine | 2000 Pepperell Pkwy, 2nd Floor (pain Clinic), Opelika, AL 36801-5452 | 2016-07-22 |
| 1376970673 | Sharma Family Medicine & Consulting PC | Family Medicine | 101 24th St, Opelika, AL 36801-6253 | 2013-10-01 |
| 1508120577 | Viengxay Thomas Malavong | Family Medicine | 2202 Gateway Dr, Opelika, AL 36801-6869 | 2012-06-25 |
| 1689700619 | Michael J Lisenby | Family Medicine | 2000 Pepperell Pkwy, Opelika, AL 36801-5452 | 2007-02-26 |
| 1588726616 | Family Medicine Associates of East Alabama P C | Family Medicine | 122 N 20th St Bldg 24, Opelika, AL 36801-5442 | 2006-12-14 |
| 1376604272 | Sunil Kumar Sharma | Family Medicine | 101 24th St, Opelika, AL 36801-6253 | 2006-12-13 |
| Find all providers in OPELIKA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.