Sonja M Roach (NPI# 1396770772, PAC ID# 0547283863) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1396770772 |
| PAC ID by PECOS | 0547283863 |
| Professional Enrollment ID | I20060112000192 |
| Full Name | Sonja M Roach |
| Organization Legal Name | GATEWAY FAMILY HEALTH CLINIC, LTD. |
| Address |
45 Lady Luck Dr Hinckley MN 55037 |
| Phone Number | 3203846618 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305758657 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241350 | MERCY HOSPITAL |
| 241309 | ESSENTIA HEALTH SANDSTONE |
| Address | Phone | Organization |
|---|---|---|
| 45 Lady Luck Dr, Hinckley, MN 55037 | 3203846618 | GATEWAY FAMILY HEALTH CLINIC, LTD. |
| 4570 County Hwy 61, Moose Lake, MN 55767 | 2184854491 | GATEWAY FAMILY HEALTH CLINIC, LTD. |
| Organization Legal Name | GATEWAY FAMILY HEALTH CLINIC, LTD. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth E Westra | Family Practice | Gateway Family Health Clinic, Ltd. | 4570 Cty Hwy 61, Moose Lake, MN 55767 |
| Bridget Margaret Dewey | Internal Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Ryan M Harden | Family Medicine | Gateway Family Health Clinic, Ltd. | 45 Lady Luck Dr, Hinckley, MN 55037 |
| Randy J Rice | Family Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Maggie B Neudecker | Family Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Kenneth E Etterman | Family Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Steve S Tekippe | Family Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Sambath Cheath | Nurse Practitioner | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Kathy Helene Brandli | Family Medicine | Gateway Family Health Clinic, Ltd. | 204 Lundorff Dr, Sandstone, MN 55072-5051 |
| Christopher N Thiessen | Family Medicine | Gateway Family Health Clinic, Ltd. | 4570 County Hwy 61, Moose Lake, MN 55767 |
| Street Address |
45 LADY LUCK DR |
| City | HINCKLEY |
| State | MN |
| Zip | 55037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan M Harden | Family Medicine | Gateway Family Health Clinic, Ltd. | 45 Lady Luck Dr, Hinckley, MN 55037 |
| Naomi J Koenig | Nurse Practitioner | Gateway Family Health Clinic, Ltd. | 45 Lady Luck Dr, Hinckley, MN 55037 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Mcdowell | Optometry | Moose Lake Eye Care LLC | Po Box, Suite 728, Hinckley, MN 55037-0728 |
| Sasha N Narayan | Optometry | Moose Lake Eye Care LLC | Po Box, Suite 728, Hinckley, MN 55037-0728 |
| Barbara L Ennis | Nurse Practitioner | County of Kanabec | 620 Sandy Ln, Hinckley, MN 55037-8381 |
| Kyle M Hams | Chiropractic | 110 Main St E, Hinckley, MN 55037-8763 |
| City | HINCKLEY |
| Zip Code | 55037 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HINCKLEY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sonja M Roach.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.