JAMES C ROELKE (NPI# 1447215066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447215066 |
| Entity Type | Individual |
| Full Name | JAMES C ROELKE |
| Credential | P.A. |
| Practice Address |
628 Hospital Dr Ground Floor, Suite A Mountain Home AR 72653-2953 |
| Practice Telephone | 8704254402 |
| Practice Fax Number | 8704243089 |
| Mailing Telephone | 8704254402 |
| Mailing Fax Number | 8704243089 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | LICENSE | PA-136 | 01 |
| Street Address |
628 HOSPITAL DR GROUND FLOOR, SUITE A |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894555 | Stephen C. Lattanzi | Internal Medicine | 628 Hospital Dr, Ground Floor, Suite A, Mountain Home, AR 72653-2953 | 2005-07-07 |
| 1265899363 | Baxter County Regional Hospital, Inc | Internal Medicine | 628 Hospital Dr, Suit 1 A, Mountain Home, AR 72653-2953 | 2016-01-20 |
| 1720477086 | Marcella Bobette Bramblett | Nurse Practitioner | 628 Hospital Dr, Ste E, Mountain Home, AR 72653-2953 | 2015-01-09 |
| 1386071785 | Kathleen Joy Prinner | Clinical Nurse Specialist | 628 Hospital Dr, Suite 3e, Mountain Home, AR 72653-2953 | 2013-09-30 |
| 1598030579 | Baxter County Regional Hospital Inc | Clinic/Center | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2012-03-09 |
| 1639407323 | M B Moore Md Orthopaedic Surgeon Pa | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-11-18 |
| 1841422003 | Aaron J Wallace, Md,pllc | Orthopaedic Surgery | 628 Hospital Dr, Suite E, Mountain Home, AR 72653-2953 | 2009-08-20 |
| 1912156068 | Diana Sue Riley | Physician Assistant | 628 Hospital Dr, Suite G-c, Mountain Home, AR 72653-2953 | 2008-09-13 |
| 1013179498 | Mcbride Orthopaedics, Pllc | Orthopaedic Surgery | 628 Hospital Dr, Ground Floor, Suite D, Mountain Home, AR 72653-2953 | 2008-06-27 |
| 1447420997 | Baxter County Regional Hospital Inc | Internal Medicine | 628 Hospital Dr, Suite 3a, Mountain Home, AR 72653-2953 | 2008-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871092189 | Joseph Wells Hoskin | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2018-02-02 |
| 1932574381 | Kyle Hollenback | Physician Assistant | 2280 American Legion Blvd, Mountain Home, ID 83647-3142 | 2015-12-10 |
| 1144607268 | Hillary-paige Graves Potter | Physician Assistant | 17 Medical Plz, Mountain Home, AR 72653-2918 | 2015-04-27 |
| 1891197570 | Emily Moore | Physician Assistant | 465 Mckenna Dr, Mountain Home, ID 83647-2143 | 2014-09-24 |
| 1952738577 | Jonathan Grant Casto | Physician Assistant | 2280 American Legion Blvd., Mountain Home, ID 83647 | 2013-09-27 |
| 1922435544 | Ashley Genee Casto | Physician Assistant | 2280 American Legion Blvd, Mountain Home, ID 83647 | 2013-09-27 |
| 1982791927 | John Frank Testerman IIi | Physician Assistant | James H. Quillen/vamc, Corner of Sidney and Lamont (johnson City), Mountain Home, TN 37686 | 2006-10-10 |
| 1609807247 | Karen Miller Gunn | Physician Assistant | Lamont Street, Mountain Home, TN 37684 | 2006-07-05 |
| 1194765875 | Nancy Karen Bell | Physician Assistant | James H. Quillen Vamc, Dogwood Ave. 111c, Mountain Home, TN 37684 | 2006-06-08 |
| 1336110980 | Delmar Wallace Smith | Physician Assistant | 2000 American Legion Blvd, Mountain Home, ID 83647-3138 | 2006-01-31 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
Please comment or provide details below to improve the information on JAMES C ROELKE.
| 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.