Justin T Roach (NPI# 1851950364, PAC ID# 1153658364) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1851950364 |
| PAC ID by PECOS | 1153658364 |
| Professional Enrollment ID | I20190812001178 |
| Full Name | Justin T Roach |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Address |
1624 S National Ave Fort Scott KS 66701-2645 |
| Phone Number | 6202238428 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911816392 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1624 S National Ave, Fort Scott, KS 66701-2645 | 6202238428 | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| 3011 N Michigan St, Pittsburg, KS 66762-2546 | 6202319873 | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Organization Legal Name | COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC |
| Physicians | 72 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy M Orellana | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 3011 N Michigan St, Pittsburg, KS 66762-2546 |
| Sarah Diane Stinebaugh | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 401 Woodland Hills Blvd, Fort Scott, KS 66701-8797 |
| Christy Allison Gilreath | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 2990 Military Ave, Baxter Springs, KS 66713-2331 |
| Erin Martinez | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 2100 Commerce Dr, Parsons, KS 67357-4951 |
| Erin J Veronie | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 801 W 8th St, Coffeyville, KS 67337-4109 |
| Sacha L Degraffenreid Yates | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 120 W Pine St, Columbus, KS 66725-1705 |
| Kelli Jo Eccles | Certified Clinical Nurse Specialist (cns) | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Emily K Bolinger | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 102 Cline Rd, Coffeyville, KS 67337-3022 |
| Kristyn D Milburn | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 11155 Tucker Rd, Pleasanton, KS 66075-8401 |
| David M Torchia | Physician Assistant | Community Health Center of Southeast Kansas Inc | 601 E Washington St, Arma, KS 66712-4001 |
| Street Address |
1624 S NATIONAL AVE |
| City | FORT SCOTT |
| State | KS |
| Zip | 66701-2645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelli Jo Eccles | Certified Clinical Nurse Specialist (cns) | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Amy L Hunt | Physician Assistant | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Anna K Odell | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Pamela R Moyers | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Samantha K Simpson | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Paden Shaffer | Nurse Practitioner | Community Health Center of Southeast Kansas Inc | 1624 S National Ave, Fort Scott, KS 66701-2645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grant C Hartman | Chiropractic | 13 S National Ave, Fort Scott, KS 66701-1308 | |
| Randall R Holloway | Optometry | 4 S National Ave, Fort Scott, KS 66701-1309 | |
| Steve C Mitchell Sr. | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Destiny D Foulk | Optometry | 624 S National Ave, Fort Scott, KS 66701-1391 | |
| Meredith V Tucker | Physical Therapy | 18 N Main St, Fort Scott, KS 66701-1435 | |
| Gentry A White | Qualified Speech Language Pathologist | 323 E Wall St, Fort Scott, KS 66701-1533 | |
| Erin M Crank | Chiropractic | Crank Chiropractic Care Inc | 325 E Wall St, Fort Scott, KS 66701-1533 |
| Katricia E Bradbury | Physical Therapy | Bradbury Therapy Consultants LLC | 323 E Wall St, Fort Scott, KS 66701-1533 |
| Ryan Lewis | Nurse Practitioner | Fort Scott Family Medicine Pa | 202 State St A, Fort Scott, KS 66701-2031 |
| Robert E Odell | Chiropractic | Fort Scott Chiropractic LLC | 222 State St, Fort Scott, KS 66701-2031 |
| Find all physicians in zip 66701 | |||
| City | FORT SCOTT |
| Zip Code | 66701 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT SCOTT + NURSE PRACTITIONER |
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| 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.