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

Individual provider Surgical Physician Assistant · NPI 1144927252

Stephanie Ann-Phillips Roach is a Physician Assistant in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Crouse Health Hospital Inc, a 153-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2023
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Practice location Address checks out

736 Irving Ave
Syracuse, NY 13210-1602
Phone: (315) 470-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1144927252
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 9, 2023
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Crouse Health Hospital Inc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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