KENNETH WILLIAM ROACH (NPI# 1780686014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780686014 |
| Entity Type | Individual |
| Full Name | KENNETH WILLIAM ROACH |
| Credential | M.D. |
| Practice Address |
1000 N Main St Suite #204 Fuquay Varina NC 27526-2056 |
| Mailing Address |
605 Attain St # 101 Fuquay Varina NC 27526-1972 |
| Practice Telephone | 9195673709 |
| Mailing Telephone | 9195673709 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2018-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 200300401 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89134UY | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922561745 | Kenneth Wayne Roach | Specialist | 15650 Walden Rd Apt 4302, Montgomery, TX 77356-1780 | 2019-04-09 |
| 1619189628 | Kenneth David Roach | Counselor | 4190 S Highland Dr Ste 210, Salt Lake City, UT 84124-2674 | 2007-05-03 |
| 1053630673 | Kenneth Lee Roach | Internal Medicine | 3300 Gallows Road, Department of Medicine, Falls Church, VA 22042 | 2010-05-21 |
| Street Address |
1000 N MAIN ST SUITE #204 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992108203 | At Home Senior Services | In Home Supportive Care | 1000 N Main St, Suite 219, Fuquay Varina, NC 27526-2056 | 2014-09-30 |
| 1205978061 | Michaele Lynn Worrix | Counselor | 1000 N Main St, Suite 202, Fuquay Varina, NC 27526-2056 | 2007-02-12 |
| 1306915731 | Brook S. Wallace Pa | Chiropractor | 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 | 2006-11-07 |
| 1881624989 | Brook Stephen Wallace | Chiropractor | 1000 N Main St, Suite 101, Fuquay Varina, NC 27526-2056 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083717516 | Fuquay Ophthalmology and Glaucoma PC | Ophthalmology | 605 Attain St Ste 101, Fuquay Varina, NC 27526-1972 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881145 | Wnc Ophthalmology, Pllc | Ophthalmology | 900 Hendersonville Rd Ste 302, Asheville, NC 28803-1762 | 2020-08-10 |
| 1275154676 | Albemarle Eye Center, Pllc | Ophthalmology | 2511 N Queen St, Kinston, NC 28501-1632 | 2020-04-27 |
| 1518509686 | Bruce Howard Redler | Ophthalmology | 170 Oakanoah Ct, Brevard, NC 28712-8485 | 2019-10-10 |
| 1114572534 | Charlotte Eye Ear Nose & Throat Associates, Pa | Ophthalmology | 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 | 2019-08-02 |
| 1598221848 | Eye Physicians and Surgeons of Durham, Pllc | Ophthalmology | 3811 North Roxboro Street, Durham, NC 27704-5800 | 2019-02-12 |
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1376029827 | Albemarle Eye Center, Pllc | Ophthalmology | 111 W Seachase Dr, Nags Head, NC 27959 | 2018-07-18 |
| 1285177014 | Carolina Eye Associates, Inc | Ophthalmology | 310 N. Greene Street, Wadesboro, NC 28170-1609 | 2016-11-28 |
| 1801271457 | Asghar Haider | Ophthalmology | 2351 Erwin Road, Durham, NC 27710-3036 | 2015-07-24 |
| 1518351493 | Lee Angelo Wiley | Ophthalmology | 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 | 2015-03-27 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.