JOHN G ROACH III (NPI# 1376503474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376503474 |
| Entity Type | Individual |
| Full Name | JOHN G ROACH III |
| Credential | MD |
| Practice Address |
105 Vest Mill Cir Winston-salem NC 27103-2943 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367187800 |
| Practice Fax Number | 3367187900 |
| Mailing Telephone | 3367187800 |
| Mailing Fax Number | 3367187900 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2013-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 21859 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8971910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477867588 | John J Roach | Surgery | 2616 24th Ave E, Seattle, WA 98112-2002 | 2010-07-30 |
| 1881640639 | John B Roach Jr. | Specialist | 17723 Hunting Bow Cir, Suite 101, Lutz, FL 33558-5371 | 2006-05-25 |
| 1417930421 | John Michael Roach | Internal Medicine | 811 S Auburn, Kennewick, WA 99336 | 2005-11-23 |
| 1164425831 | John M. Roach | Pediatrics | 242 Berger Rd, Paducah, KY 42003-4522 | 2005-05-24 |
| 1750929840 | John Tiption Roach IIi | Nurse Anesthetist, Certified Registered | 701 Princeton Ave Sw, Birmingham, AL 35211-1303 | 2019-12-19 |
| 1962863811 | John David Roach Jr. | Counselor | 2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110 | 2016-03-18 |
| 1518921766 | John M Roach | Ophthalmology | 3225 Cumberland Blvd Se Ste 800, Atlanta, GA 30339-5970 | 2006-04-14 |
| Street Address |
105 VEST MILL CIR |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27103-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922086909 | Blanche E. Brais | Physician Assistant | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-09 |
| 1518928266 | John Barham Ragland Thomas | Family Medicine | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-03-31 |
| 1467413062 | Sharon E Vannoy | Nurse Practitioner | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-03-31 |
| 1043271299 | Richard C Worf | Family Medicine | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-03-29 |
| 1427038512 | Chris N Christakos | Family Medicine | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-17 |
| 1891774303 | Sherrill D. Braswell Jr. | Family Medicine | 105 Vest Mill Cir, Winston-salem, NC 27103-2943 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1578706925 | Baljinder Kumar | Family Medicine | 7811 North Point Blvd, Winston-salem, NC 27106 | 2009-04-15 |
| 1346487964 | Forsythe Memorial Hospital, Inc | Family Medicine | 5110 Robinhood Village Dr, Suite C-1, Winston-salem, NC 27106-5476 | 2009-01-20 |
| 1487751921 | Adnan Nogo | Family Medicine | 160 Kimel Park Dr., Winston-salem, NC 27103 | 2006-09-19 |
| 1073553426 | Rhc & Allied Health Associates | Family Medicine | 3009 Waughtown St, Winston-salem, NC 27107-1634 | 2006-06-07 |
| 1548221617 | William Franklin Folds | Family Medicine | 2801 Lyndhurst Ave, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1922069079 | Thomas Lynn Jolly | Family Medicine | 2801 Lyndhurst Avenue, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1346213188 | Lexmedical, Inc. | Family Medicine | 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 | 2006-02-10 |
| 1114999752 | Robert G Kelly | Family Medicine | Robinhood Medcal Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1427020015 | Champ M Jones | Family Medicine | Robinhood Medical Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1861464935 | Mark Powers Maier Jr. | Family Medicine | 12208 Hwy 150 North, Dba Arcadia Family Practice, Winston-salem, NC 27127 | 2006-02-03 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27103 |
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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.