Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roger L Roark, MD PA

Organization Surgery Physician · NPI 1023324027

Roger L Roark, MD PA is a Surgery Physician in Statesville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.

Licensed in
NC
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

555 Kitchings Dr Ste C
Statesville, NC 28677-3576
Phone: (704) 873-2516
Fax: (704) 873-1431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 20190 (NC)

Record details

NPI number1023324027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roger Roark — Owner · (704) 873-2516
NPI enumeratedAugust 27, 2010
Last updated in NPPESAugust 27, 2010
Mailing address555 Kitchings Dr Ste C, Statesville, NC 28677-3576

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