Individual provider · Type 1 NPI

Jason Roach, PA-C

Physician Assistant · Peoria, IL

NPI number 1104179795 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2036 Map

Mailing address

280 E Greenwood St
Morton, IL 61550-2572

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.004474 (IL)

Physician Assistant: 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, orde…

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About NPI 1104179795

Jason Roach, PA-C's National Provider Identifier is 1104179795, issued on Oct 19, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Peoria, IL. The record was last updated on Oct 19, 2012.