JOHN P ROCHE (NPI# 1205837689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205837689 |
| Entity Type | Individual |
| Full Name | JOHN P ROCHE |
| Credential | M.D. |
| Practice Address |
4069 Lake Dr Se Ste 315 Grand Rapids MI 49546-8816 |
| Mailing Address |
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 |
| Practice Telephone | 6162677758 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301501449 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Doyle Park Dr, Santa Rosa, CA 954054558 | 7075256199 | 7077552302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465150 | John F Roche | Physical Therapy Assistant | 45 Notre Dame Ave, Cumberland, RI 02864-2318 | 2020-04-03 |
| 1508878026 | John Allen Roche | Counselor | 108 Robin Rd, Suite 1006, Altamonte Springs, FL 32701-5035 | 2006-08-13 |
| 1669482626 | John J Roche | Dentist | 446 Main St, Center Moriches, NY 11934 | 2006-08-09 |
| 1518901735 | John A. Roche | Social Worker | 1309 South Cannon Blvd, Kannapolis, NC 28083 | 2006-06-16 |
| 1205105558 | John Barry Roche | Hearing Instrument Specialist | 1141 E Cooley St, Suite T, Show Low, AZ 85901-5103 | 2011-12-15 |
| 1720126113 | John Patrick Roche | Marriage & Family Therapist | 335 Centerville Rd, Bldg # 4, Warwick, RI 02886 | 2007-02-01 |
| 1033139902 | John Paul Roche | Pharmacist | 274 E 3rd St, Winona, MN 55987-3720 | 2006-07-20 |
| Street Address |
4069 LAKE DR SE STE 315 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49546-8816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568098986 | Kloe Shaye Carpenter | Physician Assistant | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2020-03-17 |
| 1841768777 | Lauren Marie Wylie | Physician Assistant | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2018-11-08 |
| 1396232849 | Gabrielle Wiarda | Social Worker | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546 | 2018-04-20 |
| 1639609407 | Megan Jean Madole | Nurse Practitioner | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2017-06-14 |
| 1306390885 | Sarah Bratt | Nurse Practitioner | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2016-08-12 |
| 1154774545 | Laura Jane Messing | Audiologist | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2016-07-20 |
| 1902288772 | Jordan Cantor | Internal Medicine | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2015-06-29 |
| 1912342015 | Kristin Nicole Essenberg | Internal Medicine | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2013-05-02 |
| 1699018135 | Alyssa Ashley Churchill | Internal Medicine | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2013-04-03 |
| 1205118957 | Michelle Christine Heslinga | Social Worker | 4069 Lake Dr Se Ste 315, Grand Rapids, MI 49546-8816 | 2011-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762986 | Amanda Mae Ostrom | Speech-Language Pathologist | 710 Kenmore Ave Se, #110, Grand Rapids, MI 49546 | 2020-08-25 |
| 1063075562 | Kelly Lynn Ibarra | Counselor | 4467 Cascade Road Se, Suite #4479, Grand Rapids, MI 49546 | 2019-04-19 |
| 1891257036 | Jessica Matthews LLC | Counselor | 4127 Embassy Drive Se, Grand Rapids, MI 49546 | 2019-04-05 |
| 1326518531 | Neah Morgan | Technician | 4220 Burton St Se, Grand Rapids, MI 49546 | 2018-11-29 |
| 1316430267 | Michael John Benskey | Case Manager/Care Coordinator | 4065 Saladin St Se, Grand Rapids, MI 49546 | 2018-06-14 |
| 1679062772 | Smile Cascade, P.C. | Clinic/Center | 4505 Cascade Rd Se # A, Grand Rapids, MI 49546 | 2018-05-03 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1841792660 | Affordable Hearing Clinic | Hearing Instrument Specialist | 833 Kenmoor Ave Se Ste G, Grand Rapids, MI 49546 | 2018-03-07 |
| 1689176133 | Kelly Pines | Physical Therapist | 625 Kenmoor Ave Suite 306, Grand Rapids, MI 49546 | 2018-03-01 |
| 1467971440 | Deanna Elizabeth Saenz | Social Worker | 2100 Raybrook St Se Ste 300, Grand Rapids, MI 49546 | 2017-09-12 |
| Find all providers in zip 49546 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659591204 | Kent Otolaryngology Associates, P.C. | Otolaryngology | 222 Fulton St E, Grand Rapids, MI 49503-3211 | 2007-04-26 |
| 1609917186 | Family Ear Nose Throat & Allergy | Otolaryngology | 961 4 Mile Rd Nw, Suite A, Grand Rapids, MI 49544-1502 | 2007-02-09 |
| 1508824152 | Andrew Paul Barak | Otolaryngology | 2323 E Paris Ave Se, Ste 102, Grand Rapids, MI 49546-2414 | 2006-05-03 |
| 1548251200 | Charles R Henry | Otolaryngology | 4880 Cascade Rd Se, Grand Rapids, MI 49546-3721 | 2005-11-02 |
| 1043629231 | Veronique Wan Fook Cheung | Otolaryngology | 145 Michigan St Ne Ste 2220, Grand Rapids, MI 49503-2562 | 2014-08-13 |
| 1003235755 | James D Thompson | Otolaryngology | 145 Michigan St Ne, Grand Rapids, MI 49503-2562 | 2014-04-09 |
| 1376709337 | Kenneth H Markiewicz Do PC | Otolaryngology | 2323 E Paris Ave Se, Grand Rapids, MI 49546-2414 | 2008-07-30 |
| 1174727010 | Todd D Jones | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-06-13 |
| 1154532448 | Chad Afman | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-25 |
| 1801005251 | Andrew Charles Heaford | Otolaryngology | 4069 Lake Dr Se, Suite 315, Grand Rapids, MI 49546-8816 | 2007-05-22 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49546 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.