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

John B Roach Jr., DO

Individual provider Surgery Physician · NPI 1881640639

John B Roach Jr., DO is a Plastic and Reconstructive Surgery in Lutz, Florida. Qualified in 2001, 25 years ago. Accepts Medicare assignment. Licensed in Florida and Maine.

Years since qualifying
25
Licensed in
FL, ME
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

17723 Hunting Bow Cir Ste 101
Lutz, FL 33558-5371
Phone: (813) 528-8744
Fax: (813) 528-8791
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence OS9566 (FL)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence OS9566 (FL)
Specialist Taxonomy 174400000X · Licence LT06104 (ME)

Record details

NPI number1881640639
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 25, 2006
Last updated in NPPESFebruary 21, 2014
Mailing address17723 Hunting Bow Cir, Suite 101, Lutz, FL 33558-5371

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY, HAND SURGERY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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