JONATHAN ROACH (NPI# 1073650362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073650362 |
| Entity Type | Individual |
| Full Name | JONATHAN ROACH |
| Credential | MD |
| Practice Address |
13123 E 16th Ave Aurora CO 80045-7106 |
| Mailing Address |
Po Box 110429 Aurora CO 80042-0429 |
| Practice Telephone | 7207771234 |
| Mailing Telephone | 3034937000 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2017-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
MD2017-0745 | NM | Allopathic & Osteopathic Physicians |
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
48258 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Colorado School of Medicine, 4200 E. 9th Ave., Denver, CO 802620001 | 3034937000 |
| Street Address |
13123 E 16TH AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80045-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890447 | Cheryl Cavallaro | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2005-06-10 |
| 1730789157 | Lauren S Henry | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-26 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1821695388 | Maria Clara Rios | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-07 |
| 1306453485 | Ozlem Turan | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-23 |
| 1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
| 1407460447 | Milena Teresa Hathaway | Social Worker | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-08 |
| 1386258622 | Ann Lantagne | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-03 |
| 1780295824 | Jelena Brezo | Medical Genetics | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-08-12 |
| 1154930808 | Audrey Niemchick | Student in an Organized Health Care Education/Training Program | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942639091 | Luis Dela Torre Mondragon | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2013-11-08 |
| 1235454125 | Shannon Nicole Acker | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-02 |
| 1386973675 | Andrea Bischoff | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-12-15 |
| 1861631244 | Stig Somme | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-02-09 |
| 1801942495 | Jennifer Bruny | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| 1609922384 | Ann Kulungowski | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2007-01-26 |
| 1194882175 | Timothy M Crombleholme | Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-01-02 |
| 1184718413 | David Partrick | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-03 |
| 1174617401 | Moritz Ziegler | Surgery | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2006-10-03 |
| 1821103466 | Rona I. Norelius | Surgery | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2006-08-21 |
| Find all providers in AURORA | ||||
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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.