Shannon M. Roche (NPI# 1023470267, PAC ID# 1759673411) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023470267 |
| PAC ID by PECOS | 1759673411 |
| Professional Enrollment ID | I20191007003300 |
| Full Name | Shannon M. Roche |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Address |
8420 University Exec Park Dr Suite 850 Charlotte NC 28262-1308 |
| Phone Number | 8442668268 |
| Gender | F |
| Medical School | WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2016 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153234893 |
| Number of Group Practice Members | 1778 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340190 |
| Address | Phone | Organization |
|---|---|---|
| 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 | 8442668268 | NOVANT MEDICAL GROUP INC |
| Organization Legal Name | NOVANT MEDICAL GROUP INC |
| Physicians | 1795 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eugene Y Wang | Family Medicine | Novant Medical Group Inc | 2225 Freedom Dr, Charlotte, NC 28208-1000 |
| Cristina Saxon Hreso | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 14215 Ballantyne Corporate Pl, Suite 240, Charlotte, NC 28277-3875 |
| Jeffrey L Williams | Obstetrics/gynecology | Novant Medical Group Inc | 2909 Maplewood Ave, Winston Salem, NC 27103-4009 |
| Laura Walker Justice | Registered Dietitian Or Nutrition Professional | Novant Medical Group Inc | 125 Baldwin Ave, Suite 200, Charlotte, NC 28204-3370 |
| Jennifer Susanne Harvey | Family Medicine | Novant Medical Group Inc | 1730 Kernersville Medical Pkwy, Suite 204, Kernersville, NC 27284-7198 |
| Zion Ko Lamm | Internal Medicine | Novant Medical Group Inc | 301 S College St, Suite 250, Charlotte, NC 28202-6035 |
| Ellen Greear | Nurse Practitioner | Novant Medical Group Inc | 200 Greenwich Rd, Charlotte, NC 28211-2316 |
| Allen J Shepard | Family Medicine | Novant Medical Group Inc | 14230 Hunters Rd, Huntersville, NC 28078-7335 |
| Charis Craig Bostian | Nurse Practitioner | Novant Medical Group Inc | 1965s Us 29 Hwy, China Grove, NC 28023-5684 |
| Charles Nelson Munyon | Neurosurgery | Novant Medical Group Inc | 10305 Hamptons Park Dr, Suite 101, Huntersville, NC 28078-7221 |
| Street Address |
8420 UNIVERSITY EXEC PARK DR SUITE 850 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28262-1308 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adrienne C Evans | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Ashwini Mhatre Punjabi | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Andrew D Blodgett | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Leena Jemba Mitchell | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Tamilarasi Kannan | Internal Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Jenna Leigh Baker | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| James Dugas | Physical Therapy | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Anthony D Elkins | Family Medicine | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Anne Fisler Ganim | Physical Therapy | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Margaret M Potts | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl L Bennett | Psychologist, Clinical | 10926 David Taylor Dr, Suite 120, Charlotte, NC 28262-1042 | |
| Mary Anne J Mimier | Nurse Practitioner | Novant Medical Group Inc | 8420 University Exec Park Dr, Suite 850, Charlotte, NC 28262-1308 |
| Eric P Anderson | Chiropractic | 8210 University Exec Park Dr, Suite 110, Charlotte, NC 28262-1329 | |
| Melissa Moose | Clinical Social Worker | Array of Brighter Beginnings Inc | 301 Mccullough Dr, Charlotte, NC 28262-1336 |
| Kathleen A Doman | Nephrology | Nephrology and Hypertension Consultants Pa | 8430 University Executive Park Dr, Suite 685, Charlotte, NC 28262-1350 |
| Shalini Mundra | Nephrology | Nephrology and Hypertension Consultants Pa | 8430 University Executive Park Dr, Suite 685, Charlotte, NC 28262-1350 |
| Amy Lynn Thompson | Physician Assistant | Carolina Asthma and Allergy Center Pa | 8401 Univeristy Blvd, Suite 128, Charlotte, NC 28262-1358 |
| Elizabeth Jane Maupin | Physician Assistant | Carolina Asthma and Allergy Center Pa | 8401 Univeristy Blvd, Suite 128, Charlotte, NC 28262-1358 |
| Tina Grue | Nurse Practitioner | Carolina Asthma and Allergy Center Pa | 8401 Univeristy Blvd, Suite 128, Charlotte, NC 28262-1358 |
| Marc James | Optometry | Horizon Eye Care Pa | 11010 David Taylor Dr, Charlotte, NC 28262-1574 |
| Find all physicians in zip 28262 | |||
| City | CHARLOTTE |
| Zip Code | 28262 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHARLOTTE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shannon M. Roche.
| 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.