Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1386880839 Deactivated / Inactive NPI Male Practitioner

Douglas Robert Roach , NCCPA

Physician Assistant • Fort Sam Houston, TX

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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, Douglas Roach has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2009
NPI Deactivation Date June 04, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Douglas Roach, NCCPA was a registered Physician Assistant practicing in Fort Sam Houston, TX. Throughout an active medical career spanning 11 years, Douglas Roach provided care at the practice location at 3851 ROGER BROOKE DR until profile deactivation on 2020-06-04.

Practice Location & Contact Primary Location

Practice Address

3851 Roger Brooke Dr
Mche-Bamc

Fort Sam Houston, TX 782344501

Telephone 2102217278
Associated Practice Facility / Clinic
🏢 Dfasin-Adimb U.s. Army Facility NPI 1215057641

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Sam Houston, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
114 Specialists

Practicing in Fort Sam Houston, TX (11140 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA03393

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003003690

Doctor of Psychology (Psy.D.)

John Baker

Contractor

NPI 1003805086
Dr. Rajnikant Patel , MD

Anesthesiology - Critical Care Medicine

NPI 1003807728

Doctor of Medicine (M.D.)

Francis Agyapong , NP

Nurse Practitioner - Acute Care

NPI 1013056704

Nurse Practitioner

Natalie Chang-Mason

Occupational Therapy Assistant

NPI 1013128172
Conrad Hawkins

Physical Therapist

NPI 1013197177

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 04, 2020

Record deactivated on June 04, 2020

NPI Profile Active January 05, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 05, 2009

Registered at 3851 ROGER BROOKE DR, MCHE-BAMC, FORT SAM HOUSTON, TX 782344501 (Tel: 2102217278)

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Updated Business Mailing Address January 05, 2009

Registered at 3851 ROGER BROOKE DR, MCHE-BAMC, FORT SAM HOUSTON, TX 782344501 (Tel: 2102217278)

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Provider Name / Credentials Updated January 05, 2009

Recorded as DOUGLAS ROACH, NCCPA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2009

Physician Assistant (License #PA03393 in TX)

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Initial NPI Registration & Enumeration January 05, 2009

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: 1386880839
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2009
Last Update: January 05, 2009
Deactivation Date: June 04, 2020

Mailing Address

3851 Roger Brooke Dr, Mche-Bamc

Fort Sam Houston, TX 782344501

Phone: 2102217278

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.