CAROL ROARK (NPI# 1669471058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669471058 |
| Entity Type | Individual |
| Full Name | CAROL ROARK |
| Credential | MD |
| Practice Address |
103 Landmark Dr Ll2 Bellevue KY 41073-1393 |
| Mailing Address |
1401 Madison Ave Covington KY 41011-3313 |
| Practice Telephone | 8596556100 |
| Practice Fax Number | 8596556186 |
| Mailing Telephone | 8596556100 |
| Mailing Fax Number | 8596556148 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2019-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 22479 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | CHOICE CARE | K22479 | 01 |
| KY | ANTHEM | 000000279253 | 01 |
| KY | 64224793 | 05 |
| Street Address |
103 LANDMARK DR LL2 |
| City | BELLEVUE |
| State | KY |
| Zip Code | 41073-1393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033756689 | Alicia J Obringer | Dietitian, Registered | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2019-12-03 |
| 1215468947 | Allyson Lilburn | Social Worker | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2017-03-24 |
| 1912440280 | Christy Renee Bowling | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-11-18 |
| 1861854648 | Amy N Reusch | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2016-03-22 |
| 1487056974 | Catherine Nicole Ellis | Nurse Practitioner | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2014-09-16 |
| 1659711851 | Olivia Mae Faulkner Estes | Dentist | 103 Landmark Dr, Bellevue, KY 41073 | 2013-07-02 |
| 1124468707 | Michelle Watters | Pharmacist | 103 Landmark Dr, Bellevue, KY 41073-1393 | 2013-06-27 |
| 1043657489 | Harold T. Pretorius, M.d. | Internal Medicine | 103 Landmark Dr, Suite 365, Bellevue, KY 41073-1393 | 2013-05-24 |
| 1083974737 | Dawn Marie Mbomyo | Social Worker | 103 Landmark Dr, Suite 380, Bellevue, KY 41073-1393 | 2012-05-29 |
| 1114229192 | Joy Ann Cunningham | Pharmacist | 103 Landmark Dr, Ste 103, Bellevue, KY 41073-1393 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467618462 | Violet Marie Lichtenstein | Registered Nurse | 103 Landmark Drive, Bellevue La Health Care, Bellevue, KY 41073 | 2008-07-30 |
| 1033314554 | Healing Tables Ltd Co | Contractor | 405 Fairfield Ave, Bellevue, KY 41073 | 2007-06-15 |
| 1548391428 | Dana Porterfield | Physical Therapist | 103 Landmark Dr Lower Level, Patient First Pt, Bellevue, KY 41073 | 2007-03-09 |
| 1760527105 | Melissa Rose Sandoval | Social Worker | 103 Landmark Drive Ste 300, Department of Veteran's Affairs, Bellevue, KY 41073 | 2007-02-21 |
| 1619900784 | Mary D Huhn | Social Worker | 227 Fairfield Ave, 2nd Floor, Bellevue, KY 41073 | 2006-07-09 |
| 1972169746 | Christopher James Kersting | Nurse Practitioner | 53 Donnermeyer Dr, Bellevue, KY 41073 | 2019-05-16 |
| 1740627124 | Jeffery Braden Blankenship | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2013-05-27 |
| 1437404431 | Jennifer Amy Adams | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2012-07-17 |
| 1861439937 | Michael Grainger | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| 1497792584 | Jeremy D Engel | Family Medicine | 119 Fairfield Ave, Suite R102, Bellevue, KY 41073 | 2006-05-31 |
| Find all providers in zip 41073 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1154782050 | Sarah Elizabeth Strandjord | Pediatrics | 2475 140th Ave Ne, Bellevue, WA 98005-1892 | 2016-03-19 |
| 1568753762 | David George Reigel | Pediatrics | 15247 Ne 6th St, Bellevue, WA 98007-5013 | 2011-04-22 |
| 1689828345 | Cynthia D Bader | Pediatrics | 14711 Ne 29th Pl, Suite #255, Bellevue, WA 98007-7666 | 2008-11-07 |
| 1336310432 | Ronald Rager | Pediatrics | 362 Lincoln Ave, Bellevue, PA 15202-3756 | 2008-03-17 |
| 1447478938 | Marsha Alexis Chenoweth | Pediatrics | 1601 114th Ave Se Ste 180, Bellevue, WA 98004-6955 | 2007-04-23 |
| 1013066315 | Malinda J Bender | Pediatrics | 4802 Shannon Dr, Bellevue, NE 68133-4711 | 2007-01-09 |
| 1477624286 | Pediatric Associates, Inc., P.s. Dba Allegro Pediatrics | Pediatrics | 2475 140th Ave. Ne. Building C, Bellevue, WA 98005 | 2006-11-13 |
| 1336230754 | Monique L Macklem | Pediatrics | 11507 South 42nd Street, Suite 101, Bellevue, NE 68123 | 2006-09-28 |
| 1891897286 | Gayle E Thuot | Pediatrics | 13451 Se 36th, Group Health Cooperative Factoria Clinic, Bellevue, WA 98006 | 2006-09-05 |
| Find all providers in BELLEVUE | ||||
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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.