SUSAN I ROACH MD
NPI 1467454694
Family Medicine in Longmont, CO

Q: What is Susan Roach's NPI number?

The NPI number for Susan Roach is 1467454694. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Susan Roach's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Roach was last updated on April 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2005

1309 SUNSET ST, LONGMONT, CO 80501(303) 772-5578(303) 772-8207 Get Directions Write a Review

NPPES record last updated: April 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan I Roach Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN I ROACH MD (NPI 1467454694) is an individual family medicine provider in Longmont, Colorado, licensed in Colorado (24757) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1467454694

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSUSAN I ROACHCredential: MD

Location Address1309 SUNSET STLongmont, CO 80501-3215

Mailing Address1309 Sunset StLongmont, CO 80501-3215 · (303) 772-5578 · Fax (303) 772-8207

Phone(303) 772-5578

Fax(303) 772-8207

Sole ProprietorNo

Enumeration DateJune 1, 2005

Last NPPES UpdateApril 25, 2008

✔ NPI 1467454694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · 24757

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1309 SUNSET ST, Longmont, CO 80501

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Other Identifiers 3

Medicaid01247576CO

Medicare PINCS2648CO

Medicare UPINE57062CO

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEALTHFUL LIVING LLC

Dietitian, Registered