James David Roark
Technician, Personal Care Attendant in Logan, WV. Individual provider (NPI-1).
NPI number1013519792
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1013519792
- Entity type
- Individual (NPI-1)
- Name
- James David Roark
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
258 Snap Branch RdLogan, WV 25601-3270
Phone 304-896-1524
Mailing address
258 Snap Branch RdLogan, WV 25601-3270
Phone 304-896-1524
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 120 Personal Care Attendant providers in Logan · All 640 providers in Logan
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