Individual
DONALD JOSEPH ROACH
Active
Individual
DONALD JOSEPH ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
22256
AZ
2085R0202X
Diagnostic Radiology Physician
Primary
22256
AZ
2085R0204X
Vascular & Interventional Radiology Physician
22256
AZ
2085U0001X
Diagnostic Ultrasound Physician
22256
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005472
GROUP MEDICAID ID
AZ
01
—
1265403414
PHYSICIAN INDIVIDUAL NPI
AZ
01
—
1841261989
GROUP NPI
AZ
05
—
196669
—
AZ
01
—
300067140
MEDICARE RAILROAD
AZ
01
—
CS7943
GROUP MEDICARE RAILROAD ID & PTAN
AZ
01
—
ZWCBBM
MEDICARE GROUP ID
AZ
Enumeration date
01/27/2006
Last updated
02/27/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up