TODD MARSHALL ROARK NP
NPI 1972773158
Nurse Practitioner - Acute Care in Warren, MI

Active since March 04, 2008
11800 E 12 MILE RD, WARREN, MI 48093(586) 573-5402(586) 573-5580 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd Marshall Roark Np NPPES

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

TODD MARSHALL ROARK NP (NPI 1972773158) is an individual acute care provider in Warren, Michigan, licensed in Michigan (4704229946) and active in the NPI registry since March 2008.

NPPES Registry Identity

NPI1972773158
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTODD MARSHALL ROARKCredential: NP
Location Address11800 E 12 MILE RDWarren, MI 48093-3472
Mailing Address333 E Maplehurst StFerndale, MI 48220-1374 · (586) 573-5402
Fax(586) 573-5580
Sole ProprietorYes
Enumeration DateMarch 4, 2008
Last NPPES UpdateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
NPI 1972773158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704229946
11800 E 12 MILE RD, Warren, MI 48093

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Clinical Nurse Specialist (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Hospitalist
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093
Emergency Medicine
11800 E 12 MILE RD
WARREN, MI 48093
Speech-Language Pathologist
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Practitioner (Acute Care)
11800 E 12 MILE RD
WARREN, MI 48093
Nurse Anesthetist, Certified Registered
11800 E 12 MILE RD
WARREN, MI 48093

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Roark's NPI number?

The NPI number for Todd Roark is 1972773158. It was assigned to this individual provider in the NPPES registry on March 4, 2008.

Where is Todd Roark located?

Todd Roark practices at 11800 E 12 Mile Rd, Warren, MI 48093. The listed phone number is (586) 573-5402.

What is Todd Roark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

When was this NPI record last updated?

The NPPES record for Todd Roark was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.