Timothy Roach (NPI# 1104203397, PAC ID# 3476835448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1104203397 |
| PAC ID by PECOS | 3476835448 |
| Professional Enrollment ID | I20190607000046 |
| Full Name | Timothy Roach |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
2450 Riverside Ave Minneapolis MN 55454-1450 |
| Phone Number | 6122733000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240080 | UNIVERSITY OF MINNESOTA MEDICAL CENTER, FAIRVIEW |
| Address | Phone | Organization |
|---|---|---|
| 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 6122733000 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Nicholas Lee Rudolph | Physical Therapy | Fairview Health Services | 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Street Address |
2450 RIVERSIDE AVE |
| City | MINNEAPOLIS |
| State | MN |
| Zip | 55454-1450 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel T Kebed | Internal Medicine | Fairview Health Services | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Brian T Tolly | Anesthesiology | University Anesthesia Providers, LLC | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Jessica L Mcadam | Certified Registered Nurse Anesthetist (crna) | University Anesthesia Providers, LLC | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Katarina Wrzos | Internal Medicine | Fairview Health Services | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Brooke L Kaney | Clinical Social Worker | Fairview Health Services | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Sara Jayne Armbruster | Certified Registered Nurse Anesthetist (crna) | University Anesthesia Providers, LLC | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Nicole R Thompson | Certified Registered Nurse Anesthetist (crna) | University Anesthesia Providers, LLC | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Jeremy Scott Markowitz | Cardiovascular Disease (cardiology) | Fairview Health Services | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Aaron A Berg | Anesthesiology | University Anesthesia Providers, LLC | 2450 Riverside Ave, Minneapolis, MN 55454-1450 |
| Emily M Thompson | Emergency Medicine | Fairview Health Services | 2450 Riverside Ave, Suite F140, Minneapolis, MN 55454-1450 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharmarke I Samatar | Physician Assistant | 327 Cedar Ave S, Minneapolis, MN 55454-1030 | |
| Aaron Means | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Sarah E Osendorf | Nurse Practitioner | Group Health Plan Inc | 2220 Riverside Ave S, Minneapolis, MN 55454-1321 |
| Amy F Larson | Nurse Practitioner | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Ryne D Devries | Chiropractic | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Ruth A Hoffman | Physician Assistant | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Julie Ra Zwiener | Family Medicine | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Bethel M Averbeck | Internal Medicine | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Sarah M Evert | Internal Medicine | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Crystal Shores | Psychologist, Clinical | Group Health Plan Inc | 2220 Riverside Ave, Minneapolis, MN 55454-1321 |
| Find all physicians in zip 55454 | |||
| City | MINNEAPOLIS |
| Zip Code | 55454 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MINNEAPOLIS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Timothy 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.