Robert Roach in Coon Rapids - Neurological Surgery
Robert Roach - NPI 1114966637
Robert Roach is a Neurological Surgery in Coon Rapids, Minnesota. Robert Roach practices all healthcare services and medical treatments related to Neurological Surgery. The NPI Number for Robert Roach is 1114966637. The last update date is 2018-03-09.
Robert Roach's current location address is 11850 Blackfoot St Nw, Coon Rapids, Minnesota. You can contact this provider via phone number 7634271137. The mailing address for Robert Roach is 11850 Blackfoot St Nw, Coon Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Roach |
|---|---|
| Address | 11850 Blackfoot St Nw, Coon Rapids, Minnesota |
| Phone Number | 7634271137 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114966637 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2018-03-09 |
Provider Mailing Address Detail
| Address | 11850 Blackfoot St Nw |
|---|---|
| City | Coon Rapids |
| State | Minnesota (MN) |
| Post Code | 554332578 |
| Phone Number | 7634271137 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurological Surgery |
|---|---|
| Taxonomy | 207T00000X |
| Licence No | 36196 |
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Definition: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 263063000 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Robert Roach by the Centers for Medicare & Medicaid Services (CMS)?
The Robert Roach has been assigned the NPI (National Provider Identifier) 1114966637. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Robert Roach?
The Robert Roach is situated at 11850 Blackfoot St Nw, in the city of Coon Rapids, state of MN, with the zip code 554332578.
What is the Robert Roach's specialty and taxonomy code?
The Robert Roach's specialty is Neurological Surgery, and the corresponding taxonomy code is 207T00000X.
On what date did Robert Roach receive its 1114966637 assignment from the Centers for Medicare & Medicaid Services?
The Robert Roach was assigned its 1114966637 on 2006-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Robert Roach most recently updated or revised?
The information pertaining to Robert Roach, including its address, specialty, and other relevant details, was last updated or revised on 2018-03-09.