Dr. H. Michael Roark , MD
Specialist • La Jolla, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. H. Roark has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. H. Roark, MD was a registered Specialist practicing in La Jolla, CA. Throughout an active medical career spanning 12 years, Dr. Roark provided care at the practice location at 9850 GENESEE AVE until profile deactivation on 2018-10-18.
Practice Location & Contact Primary Location
9850 Genesee Ave
Suite 130
La Jolla, CA 920371224
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in La Jolla, CA
Practicing in La Jolla, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Plastic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Otolaryngology - Otolaryngology/Facial Plastic Surgery
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 9850 GENESEE AVE, SUITE 130, LA JOLLA, CA 920371224 (Tel: 8584521981)
Registered at 4104 PALISADES RD, SAN DIEGO, CA 921162043
Recorded as H. ROARK, M.D.
Specialist (License #A39651 in CA)
Record deactivated on October 18, 2018
NPI status registered as active in NPPES database
Registered at 9850 GENESEE AVE, SUITE 130, LA JOLLA, CA 920371224 (Tel: 8584521981)
Registered at 4104 PALISADES RD, SAN DIEGO, CA 921162043
Recorded as H. ROARK, M.D.
Specialist (License #A39651 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4104 Palisades Rd
San Diego, CA 921162043
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