DR. KEVIN R. ROACH (NPI# 1104895986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104895986 |
| Entity Type | Individual |
| Full Name | DR. KEVIN R. ROACH |
| Credential | M.D. |
| Practice Address |
1285 Nininger Rd Hastings MN 55033-1086 |
| Mailing Address |
2925 Chicago Ave Minneapolis MN 55407-1321 |
| Practice Telephone | 6514804200 |
| Mailing Telephone | 6122625000 |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2011-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 40335 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA URGENT CARE | 66-02258 | 01 |
| MN | 942819400 | 05 | |
| MN | AMERICAS PPO | 764561 | 01 |
| MN | BLUE CROSS | 02F64RO | 01 |
| MN | UCARE MINNESOTA | 120840 | 01 |
| MN | HEALTH PARTNERS | HP23558 | 01 |
| MN | PREFERRED ONE | NA9141014588 | 01 |
| MN | GROUP HEALTH EAU CLAIRE | 942819400 | 01 |
| MN | RAILROAD MEDICARE | 020037023 | 01 |
| MN | MEDICA | 17-00169 | 01 |
| MN | MEDICAID WI | 32371200 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770886772 | Kevin Neil Roach | Chiropractor | 8170 S. Highland Dr., #e2, Sandy, UT 84093-6497 | 2010-12-13 |
| 1093984825 | Kevin M Roach | Chiropractor | 3221 Domain St, Saint Charles, MO 63301-8229 | 2008-02-26 |
| 1588099253 | Kevin Raymond Roach | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2013-09-12 |
| Street Address |
1285 NININGER RD |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591275 | Jerome J Perra | Orthopaedic Surgery | 1285 Nininger Rd, Suite 107, Hastings, MN 55033-1086 | 2006-03-14 |
| 1164876942 | Gita Byraiah | Obstetrics & Gynecology | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2016-04-19 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1578869293 | Allina Health System | Clinic/Center | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2011-01-27 |
| 1679710248 | Maria O Stanislaw | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2009-01-19 |
| 1063681872 | Terry Cherner | Physical Therapist | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2008-02-26 |
| 1689730491 | Tammy J John | Registered Nurse | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-12-28 |
| 1396819751 | Sanaya Darayus Bharucha | Pediatrics | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-11-20 |
| 1578579264 | David John Ries | Family Medicine | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-08-01 |
| 1134177561 | Susan E. Nelson | Nurse Practitioner | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2006-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437130499 | David John Dargis | Surgery | 1005 W Green St Ste 300, Hastings, MI 49058-1725 | 2005-11-08 |
| 1518965391 | Robert Leroy Anderson | Surgery | 715 N Kansas Ave, Suite 205, Hastings, NE 68901-4453 | 2005-07-14 |
| 1295397750 | Caleb Schroeder Md LLC | Surgery | 618 N Denver Ave, Hastings, NE 68901-5122 | 2019-07-05 |
| 1124488812 | Pennock Hospital Board of Trustees | Surgery | 1005 W Green St, Hastings, MI 49058-1712 | 2016-02-24 |
| 1255693453 | Garret Thomas Lechtenberg | Surgery | 1285 Nininger Rd, Hastings, MN 55033-1086 | 2012-06-13 |
| 1356656417 | The Mary Lanning Memorial Hospital Association | Surgery | 223 E 14th St, Ste 100, Hastings, NE 68901-3200 | 2010-08-13 |
| 1073837639 | Caleb W Schroeder | Surgery | 618 N Denver Ave, Hastings, NE 68901-5122 | 2010-03-25 |
| 1699930008 | Robert L. Anderson, M.d., P.C. | Surgery | 2115 N Kansas Ave, Suite 205, Hastings, NE 68901-2615 | 2008-07-24 |
| 1417138116 | Surgery Adult Pediatric Vascular P.C. | Surgery | 2115 N Kansas Ave, Suite 107, Hastings, NE 68901-2615 | 2007-11-21 |
| 1033171376 | John C Carlson | Surgery | 1210 1st St W, Hastings, MN 55033-1147 | 2006-04-03 |
| Find all providers in HASTINGS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.