MICHAEL DEAN ROACH (NPI# 1063071694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063071694 |
| Entity Type | Individual |
| Full Name | MICHAEL DEAN ROACH |
| Practice Address |
1400 Wsw Loop 323 Ste 100 Tyler TX 75701-7201 |
| Practice Telephone | 9035955580 |
| Practice Fax Number | 9035263882 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 237700000X | Hearing Instrument Specialist | 80202 | TX | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124523907 | Michael Justin Roach | Hearing Instrument Specialist | 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 | 2018-03-26 |
| 1417970583 | Michael O Roach | Family Medicine | 15625 Imperial Hwy, La Mirada, CA 90638-1301 | 2006-07-26 |
| 1114226735 | Michael Charles Roach | Radiology | 2226 Liliha St Ste B2, Honolulu, HI 96817-1605 | 2011-03-22 |
| 1235436791 | Michael Sp Roach | Nurse Practitioner | 325 W 20th St, Houston, TX 77008-2436 | 2011-02-18 |
| 1740592435 | Michael Dewayne Roach | Family Medicine | 686 Lester St, Poplar Bluff, MO 63901-5025 | 2010-07-09 |
| 1326256447 | Michael Stephen Roach | Physician Assistant | Us Naval Hospital Okinawa, Psc 482, Fpo, AP 96362-1600 | 2007-05-21 |
| 1689711665 | Michael P Roach | Optometrist | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2007-01-31 |
| 1528004389 | Michael L Roach | Family Medicine | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2006-06-21 |
| 1487697801 | Michael Roach | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1001 Blythe Blvd, Ste 300 - Thoracic Surgery, Charlotte, NC 28203-5866 | 2006-06-14 |
| 1003863309 | Michael Roach | Social Worker | 2495 Shreveport Hwy, Pineville, LA 71360-4044 | 2006-05-30 |
| Street Address |
1400 WSW LOOP 323 STE 100 |
| City | TYLER |
| State | TX |
| Zip Code | 75701-7201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982765657 | Mtr of Tyler Dba Beltone | Hearing Instrument Specialist | 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 | 2006-12-13 |
| 1821593682 | Kimberley Anganette Dunigan | Hearing Instrument Specialist | 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 | 2018-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124523907 | Michael Justin Roach | Hearing Instrument Specialist | 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 | 2018-03-26 |
| 1427416130 | Stephanie Duncan | Hearing Instrument Specialist | 844 S Fleishel Ave, Tyler, TX 75701-2042 | 2016-02-09 |
| 1699187534 | Jimmy Maurice Shupe | Hearing Instrument Specialist | 4746 S Broadway Ave, Tyler, TX 75703-1308 | 2014-05-27 |
| 1457621336 | Arlene Michelle Garcia | Hearing Instrument Specialist | 400 Old Grande Blvd, Apt 1905, Tyler, TX 75703-4178 | 2012-01-09 |
| 1346446952 | John Louie Miguez | Hearing Instrument Specialist | 5100 Old Bullard Rd, Suite A, Tyler, TX 75703-3630 | 2007-06-21 |
| 1982765657 | Mtr of Tyler Dba Beltone | Hearing Instrument Specialist | 1400 Wsw Loop 323 Ste 100, Tyler, TX 75701-7201 | 2006-12-13 |
| 1063422194 | Czop Inc | Hearing Instrument Specialist | 844 S. Fleishel Ave., Tyler, TX 75701-2042 | 2006-08-09 |
| 1255962320 | Cameca Shay Rhame | Hearing Instrument Specialist | 2501 E 5th St, Tyler, TX 75701-3544 | 2020-01-28 |
| 1164074126 | East Texas Hearing Aids, LLC | Hearing Instrument Specialist | 4411 Old Bullard Rd Ste 501, Tyler, TX 75703-1215 | 2019-07-10 |
| 1083176283 | Mary Claire Jolly | Hearing Instrument Specialist | 4746 S Broadway Ave, Tyler, TX 75703-1308 | 2019-04-05 |
| Find all providers in TYLER | ||||
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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.