DR. SUSAN J. ROE (NPI# 1174592331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174592331 |
| Entity Type | Individual |
| Full Name | DR. SUSAN J. ROE |
| Credential | M.D. |
| Practice Address |
1175 Nininger Rd Hastings MN 55033-1056 |
| Practice Telephone | 6514804100 |
| Practice Fax Number | 6514806801 |
| Mailing Telephone | 6514804100 |
| Mailing Fax Number | 6514806801 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
30221 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTHPARTNERS | HP42296 | 01 |
| MN | MEDICA | 11-00304 | 01 |
| MN | BLUE CROSS | 138T5RO | 01 |
| MN | PREFERRED ONE | 984811034012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730251984 | Susan Gwen Roe | Speech-Language Pathologist | 400 Linwood Ave, Hot Springs, AR 71913-3749 | 2006-11-14 |
| Street Address |
1175 NININGER RD |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151511 | Miriam Arnold | Nurse Anesthetist, Certified Registered | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2005-08-10 |
| 1871105932 | Allina Health System | Clinic/Center | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2020-08-20 |
| 1306455472 | Sheryl Rust | Dietitian, Registered | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2020-07-24 |
| 1881118149 | Allina Health System | Internal Medicine | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2017-07-28 |
| 1922520899 | Laura Catherine Mueller | Physical Therapist | 1175 Nininger Rd, Hastings, MN 55033 | 2017-07-12 |
| 1497157499 | Shelly Brogni | Dietitian, Registered | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2014-09-22 |
| 1043637911 | Cortney Steeples | Dietitian, Registered | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2014-03-27 |
| 1083045124 | Regina Senior Living | Assisted Living Facility | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-11-27 |
| 1841620440 | Regina Senior Living | Skilled Nursing Facility | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-11-18 |
| 1174950448 | Allina Health System | Clinic/Center | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2013-10-02 |
| 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 | 207ZF0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Forensic Pathology |
| A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pathology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053380238 | Lindsey C. Thomas | Pathology | 1175 Nininger Rd, Hastings, MN 55033-1056 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124674551 | Andrew Michael Baker | Pathology | Hennepin County Medical Examiner, 530 Chicago Ave, Minneapolis, MN 55415 | 2019-08-12 |
| 1073725321 | Lorren Jackson | Pathology | 530 Chicago Ave, Minneapolis, MN 55415-1518 | 2007-05-07 |
| 1407907207 | Michael Scott Madsen | Pathology | 14341 Rhinestone St Nw, Ramsey, MN 55303-4948 | 2007-01-16 |
| 1235571332 | Catherine Sarah Morris | Pathology | 200 1st St Sw, Rochester, MN 55905 | 2013-07-18 |
| 1043586431 | Rebecca Asch-kendrick | Pathology | 14341 Rhinestone St Nw, Ramsey, MN 55303-4948 | 2012-03-29 |
| 1104036318 | Owen Middleton | Pathology | 530 Chicago Ave, Minneapolis, MN 55415-1518 | 2007-05-23 |
| 1629185335 | Janis Carol Amatuzio | Pathology | 3960 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-2569 | 2006-08-25 |
| 1306854575 | Angelique Quinn Strobl | Pathology | 3960 Coon Rapids Blvd Nw, Suite Ll21, Coon Rapids, MN 55433-2569 | 2006-08-04 |
| 1447274832 | Butch Mayner Huston | Pathology | 3960 Coon Rapids Blvd Nw, Suite Ll21, Coon Rapids, MN 55433-2569 | 2006-07-27 |
| 1326027871 | Peter T Lin | Pathology | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-12 |
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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.