Individual provider · Type 1 NPI

John Roan, PA

Medical Physician Assistant · Jamestown, NY

NPI number 1568375574 Active

Practice location

103 Allen St
Jamestown, NY 14701-6968

Mailing address

21 New York Ave Apt 6
Lakewood, NY 14750-1231

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1568375574

John Roan, PA's National Provider Identifier is 1568375574, issued on Sep 23, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Jamestown, NY. The record was last updated on Sep 23, 2026.