| Roach Fisher And Roach Pllc | |
|
129 South Winter Street Midway KY 40347 | |
| (859) 846-4445 | |
| (859) 846-4761 |
| Full Name | Roach Fisher And Roach Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 129 South Winter Street, Midway, Kentucky |
| Authorized Official Name and Position | James P Roach (OWNER/ CFO) |
| Authorized Official Contact | 8598464445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roach Fisher And Roach Pllc 129 South Winter Street Po Box 277 Midway KY 40347 Ph: (859) 846-4445 | Roach Fisher And Roach Pllc 129 South Winter Street Midway KY 40347 Ph: (859) 846-4445 |
| NPI Number | 1720288475 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 03/14/2011 |
| Medicare PECOS PAC ID | 1456335637 |
|---|---|
| Medicare Enrollment ID | O20040615001487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720288475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21321 (Kentucky) | Primary |
| Provider Name | Mary D Carman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154322154 PECOS PAC ID: 4082738935 Enrollment ID: I20100828000070 |
| Provider Name | James P Roach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619978830 PECOS PAC ID: 1759365935 Enrollment ID: I20110323000840 |
| Provider Name | Wendy M Enneking |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477999035 PECOS PAC ID: 0648411801 Enrollment ID: I20130730000971 |
| Provider Name | Marie France Vaubourg Manheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548717382 PECOS PAC ID: 1658655832 Enrollment ID: I20170307002472 |
| Provider Name | Courtney Danielle Maiden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265826911 PECOS PAC ID: 3779875562 Enrollment ID: I20180518001234 |
| Provider Name | Lauren Elizabeth Maupin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568965846 PECOS PAC ID: 9335495308 Enrollment ID: I20180705000469 |
| Provider Name | Leah M Lange |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285978163 PECOS PAC ID: 6406009844 Enrollment ID: I20240724003316 |
| Provider Name | Gwen Elizabeth Carnegie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770222861 PECOS PAC ID: 1759821523 Enrollment ID: I20240906003089 |
Capital Family Physicians Psc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 512 E Stephens St, Midway, KY 40347 Phone: 859-846-5784 | |
Cumberland Family Medical Center Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 500 Northside Dr, Midway, KY 40347 Phone: 859-879-4690 Fax: 270-858-4029 |