Shannon M Roche, DO
Family Medicine in Charlotte, North Carolina
1023470267- Practice location
- 7903 Providence RD Ste 100, Charlotte, NC 28277-9763
- Phone
- 704-316-4460
- Fax
- 704-316-4466
- Last updated
- October 26, 2020
Shannon M. Roche is a Family Medicine based in Charlotte, NC. Shannon M. Roche practices in Charlotte, NC and has the professional credentials of DO. The NPI Number for Shannon M. Roche is 1023470267 and holds a License No. 2019-00816 (NC). The current practice location address for Shannon M. Roche is 7903 Providence RD Ste 100, Charlotte, NC 28277-9763 and can be reached out via phone at 704-316-4460 and via fax at 704-316-4466.
Provider Profile Details
- NPI Number
- 1023470267
- Provider Name
- Shannon M. Roche
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 7903 Providence RD Ste 100, Charlotte, NC 28277-9763
- Phone Number
- 704-316-4460
- Fax Number
- 704-316-4466
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 27, 2016
- Last Update Date
- October 26, 2020
- Certification Date
- September 6, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 7903 Providence RD Ste 100
Charlotte, NC 28277-9763 - City
- Charlotte
- State
- North Carolina
- Zip
- 28277-9763
- Phone Number
- 704-316-4460
- Fax Number
- 704-316-4466
Provider Business Mailing Address Details
- Address
- Po Box 60447
Charlotte, NC 28260-0447 - City
- Charlotte
- State
- NC
- Zip
- 28260-0447
License Information
- License Number
- 2019-00816
- License State
- NC
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shannon M Roche, DO?
The NPI number of Shannon M Roche, DO is 1023470267. It was assigned on March 27, 2016 and is currently active in the NPPES registry.
What is the specialty of Shannon M Roche, DO?
Shannon M Roche, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NC under license number 2019-00816.
Where does Shannon M Roche, DO practice?
The practice location is 7903 Providence RD Ste 100, Charlotte, NC 28277-9763. The office can be reached at 704-316-4460 (phone) or 704-316-4466 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023470267 directly on the NPPES registry website.