Dr. John M. Roach
M.D | Pediatrics | Male
Dr. John M. Roach, M.D is a Paducah, Kentucky based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. John M. Roach is
242 Berger Rd, Paducah, Kentucky - 42003-4522. He can be contacted on phone at
270-366-0960 and fax number 271-554-1108.
Dr. John M. Roach is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. John M. Roach is
1164425831 which was assigned by NPPES on 24 May, 2005 and it was last updated on 08 Oct, 2019.
Dr. John M. Roach license number is
39216 for Pediatrics (208000000X) in Kentucky.
Dr. John M. Roach is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. John M. Roach basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. John M. Roach |
|---|
| Credential : | M.D |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. John M. Roach address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 242 Berger Rd
Paducah, KY, 42003-4522
United States |
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| Phone Number : | 270-366-0960 |
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| Fax Number : | 271-554-1108 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1164425831 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 24 May, 2005 |
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| Last Updated On : | 08 Oct, 2019 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John M. Roach are as mentioned. Primary taxonomy code for Dr. John M. Roach, M.D is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 39216 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. John M. Roach such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1427478700 | Other | KY | NPI GROUP |
| 39216 | Other | KY | KY STATE LICENSE |
| 64095565 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
4645 VILLAGE SQUARE DR, SUITE C
PADUCAH, KY, 42001-7448
United States | PADUCAH, KY | 270-999-9999 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4645 Village Square Dr, Suite C
Paducah, KY, 42001-7448
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. John M. Roach practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.