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

Gary L Roark, MD

Individual provider Anesthesiology Physician · NPI 1922083450

Gary L Roark, MD is an Anesthesiology in Lebanon, Pennsylvania. Graduated from Wake Forest University School of Medicine in 1989, 37 years ago. Practices with American Anesthesiology of Virginia PC, a 507-clinician group and accepts Medicare assignment. Licensed in Guam, Massachusetts and Maryland.

Years since qualifying
37
Trained at
Wake Forest University School of Medicine
Licensed in
GU, MA, MD
In the registry since
2005
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

830 Tuck St
Lebanon, PA 17042-7477
Phone: (717) 272-4104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence D42992 (MD)
Anesthesiology Physician Taxonomy 207L00000X · Licence 252446 (MA)
Anesthesiology Physician Taxonomy 207L00000X · Licence M-2261 (GU)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 252446 (MA)
Pediatric Anesthesiology Physician Taxonomy 207LP3000X · Licence 252446 (MA)

Record details

NPI number1922083450
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address830 Tuck St, Lebanon, PA 17042-7477

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice American Anesthesiology Of Virginia Pc — 507 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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