Stephanie Roach (NPI# 1275820599, PAC ID# 1759553241) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1275820599 |
| PAC ID by PECOS | 1759553241 |
| Professional Enrollment ID | I20131122000444 |
| Full Name | Stephanie Roach |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Address |
121 Advanced Technology Dr Duffield VA 24244 |
| Phone Number | 2764312648 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8224935754 |
| Number of Group Practice Members | 229 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 490114 | WELLMONT LONESOME PINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 121 Advanced Technology Dr, Duffield, VA 24244 | 2764312648 | HOLSTON MEDICAL GROUP PC |
| Organization Legal Name | HOLSTON MEDICAL GROUP PC |
| Physicians | 239 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary C Axelrad | Family Medicine | Holston Medical Group PC | 4848 Fort Henry Dr, Kingsport, TN 37663-3347 |
| Jeffrey Richard Many | Family Medicine | Holston Medical Group PC | 275 N Nc 16 Business Hwy, Suite 103, Denver, NC 28037-3008 |
| Connie Rutledge | Nurse Practitioner | Holston Medical Group PC | 1754 Us Hwy 23 N, Weber City, VA 24290-7071 |
| Brandi N Adams | Obstetrics/gynecology | Holston Medical Group PC | 10826 Mallard Creek Rd, Suite 200, Charlotte, NC 28262-9725 |
| Kevin Wess | Family Medicine | Holston Medical Group PC | 4675 Redbud Hwy, Honaker, VA 24260-8004 |
| Shannon M Butler | Nurse Practitioner | Holston Medical Group PC | 9611 Sherrill Estates Rd, Suite B, Huntersville, NC 28078-6485 |
| Julie M Wentz | Family Medicine | Holston Medical Group PC | 9816 Sam Furr Rd, Suite 101, Huntersville, NC 28078-5042 |
| Kenyon L Draper | Nurse Practitioner | Holston Medical Group PC | 3500 Mount Holly Huntersville Rd, Suite B, Charlotte, NC 28216-8644 |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Jennifer Shafer | Family Medicine | Holston Medical Group PC | 2033 Meadowview Ln, Suite 200, Kingsport, TN 37660-7432 |
| Street Address |
121 ADVANCED TECHNOLOGY DR |
| City | DUFFIELD |
| State | VA |
| Zip | 24244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia K Dean | Nurse Practitioner | Holston Medical Group PC | 121 Advanced Technology Dr, Duffield, VA 24244 |
| James Winegar | Family Medicine | Holston Medical Group PC | 121 Advanced Technology Dr, Duffield, VA 24244 |
| Kimberly Mullins | Nurse Practitioner | Holston Medical Group PC | 121 Advanced Technology Dr, Duffield, VA 24244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David G Parker | Family Medicine | Regional Health Resources Inc | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 |
| Jackie Lynn Craft | Nurse Practitioner | Regional Health Resources Inc | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 |
| Gail R Feagins | Clinical Social Worker | Regional Health Resources Inc | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 |
| Johnny Ray Shupe | Nurse Practitioner | Regional Health Resources Inc | 373 Cecil D Quillen Dr, Suite 101, Duffield, VA 24244-4085 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Neal Ray Sanders | Pediatric Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Hannah Ellen Ratliff | Family Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Sonya D Saadati | Family Medicine | Revida Recovery Centers PC | 198 Ross Carter Blvd, Duffield, VA 24244-5117 |
| Joyce F Thompson | Nurse Practitioner | Frontier Health | 1431 Duff Patt Hwy, Duffield, VA 24244-5139 |
| Celeste Faith Mullins | Nurse Practitioner | Frontier Health | 1431 Duff Patt Hwy, Duffield, VA 24244-5139 |
| Find all physicians in zip 24244 | |||
| City | DUFFIELD |
| Zip Code | 24244 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DUFFIELD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stephanie Roach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.