Jason Roach PA-C

  • NPI 1104179795
According to our database, the NPI number for Jason Roach PA-C is 1104179795 and activated since 11 years ago. Jason Roach PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 530 Ne Glen Oak Ave, Peoria, IL 61637. You can also contact Jason Roach PA-C via telephone number is (309) 655-2036. Provider NPI information was last updated on 10/19/2012.

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Overview of Jason Roach PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/19/2012
  • Last updated: 10/19/2012

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085.004474
  • License State: IL

Provider Mailing Address

  • Address: 280 E Greenwood St
    Morton, IL 61550
  • Phone: 815-674-0887
  • Fax:

Provider Practice Location

  • Address: 530 Ne Glen Oak Ave
    Peoria, IL 61637
  • Phone: 309-655-2036
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085.004474
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jason Roach PA-C?
  • A: The npi number for Jason Roach PA-C is 1104179795.
  • Q: What are Jason Roach PA-C's specialties?
  • A: Jason Roach PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Jason Roach PA-C?
  • A: The medical license number for Jason Roach PA-C is 085.004474 and issued in IL in USA.
  • Q: Where is Jason Roach PA-C practice location?
  • A: Jason Roach PA-C is practicing at 530 Ne Glen Oak Ave, Peoria, IL 61637.
  • Q: How to contact Jason Roach PA-C?
  • A: You can contact Jason Roach PA-C via 309-655-2036.