Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144927252 Individual Practitioner Female Practitioner

Stephanie Ann-Phillips Roach

Physician Assistant - Surgical • Syracuse, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Roach is a certified Physician Assistant - Surgical practicing in Syracuse, NY. With approximately 2 years of clinical experience since completing medical education in 2024, Stephanie Roach delivers high-quality medical care to the local community at 736 IRVING AVE.

Stephanie Roach is affiliated with Crouse Health Hospital Inc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

736 Irving Ave

Syracuse, NY 132101602

Telephone 3154707111
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Syracuse, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -15.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 15.5 Yrs
Regional Practice Density
72 Specialists

Practicing in Syracuse, NY (2182 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Roach (2 Years) 2 Yrs
Syracuse Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-02-07
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

Definition to come...

Hospital & Practice Group Affiliations

Crouse Health Hospital Inc

736 Irving Ave, Syracuse, NY 132101602

Phone: 3154707111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Irene Borja , FNP-BC

Nurse Practitioner - Family

NPI 1003128620

Family Nurse Practitioner (Board Certified)

Mary Jean Thomas , FNP

Nurse Practitioner - Family

NPI 1003800566

Family Nurse Practitioner

Theresa Principato , NP

Nurse Practitioner - Acute Care

NPI 1003938895

Nurse Practitioner

Johanna Cook

Nurse Anesthetist, Certified Registered

NPI 1013545664
NPI 1013906858

Doctor of Medicine (M.D.)

Marie Altidor , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043452444

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location February 07, 2025

Registered at 736 IRVING AVE, SYRACUSE, NY 132101602 (Tel: 3154707111)

📍
Updated Business Mailing Address February 07, 2025

Registered at 736 IRVING AVE, SYRACUSE, NY 132101602

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2025

Physician Assistant

NPI Profile Active February 09, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2023

Registered at 427 EAST AVE, MINOA, NY 131161209 (Tel: 7602248011)

📍
Updated Business Mailing Address February 09, 2023

Registered at 427 EAST AVE, MINOA, NY 131161209

👤
Provider Name / Credentials Updated February 09, 2023

Recorded as STEPHANIE ROACH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 09, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1144927252
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 09, 2023
Last Update: February 07, 2025
Sole Proprietor: Yes

Mailing Address

736 Irving Ave

Syracuse, NY 132101602

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.