Sandra E Roth
PULASKI MEMORIAL HOSPITAL


Address: 6194 E Main St, Monterey, IN 46960-9297
Phone: 5745422552

Sandra E Roth (NPI# 1619034592, PAC ID# 4486834694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1619034592
PAC ID by PECOS 4486834694
Professional Enrollment ID I20110204000637
Full Name Sandra E Roth
Organization Legal Name PULASKI MEMORIAL HOSPITAL
Address 6194 E Main St
Monterey
IN 46960-9297
Phone Number 5745422552
Gender F
Graduation Year 1987
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 3173515509
Number of Group Practice Members 17
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
151305 PULASKI MEMORIAL HOSPITAL
150102 STARKE HOSPITAL

Other Locations

Address Phone Organization
6194 E Main St, Monterey, IN 46960-9297 5745422552 PULASKI MEMORIAL HOSPITAL
6194 E Main St, Monterey Family Health, Monterey, IN 46960-9297 5745422552 PULASKI MEMORIAL HOSPITAL

Organization Information

Organization Legal Name PULASKI MEMORIAL HOSPITAL
Physicians 19

Physicians with the same organization

Name Specialty Organization Address
Whitney D Schmicker Nurse Practitioner Pulaski Memorial Hospital 540 Hospital Dr, Winamac, IN 46996-1173
Beth A Ruff Nurse Practitioner Pulaski Memorial Hospital 414 Lane St, North Judson, IN 46366-1226
Chantel K Anderson Nurse Practitioner Pulaski Memorial Hospital 112 E Montgomery St, Francesville Family Medicine, Francesviille, IN 47946-8087
Richard C Voorhees Clinical Social Worker Pulaski Memorial Hospital 613 Terrace Dr, Winamac, IN 46996-1111
Clinton Kauffman Family Medicine Pulaski Memorial Hospital 616 E 13th St, Winamac, IN 46996-1117
Laura Jean Wicker Nurse Practitioner Pulaski Memorial Hospital 616 E 13th St, Winamac, IN 46996-1117
Patricia L Benedict Nurse Practitioner Pulaski Memorial Hospital 616 E 13th St, Winamac, IN 46996-1117
Melissa D Zahrt Family Medicine Pulaski Memorial Hospital 616 E 13th St, Winamac, IN 46996-1117
Wade Hsu General Surgery Pulaski Memorial Hospital 540 Hospital Dr, Winamac, IN 46996-1173
Samantha J Pugh Nurse Practitioner Pulaski Memorial Hospital 540 Hospital Dr, Winamac, IN 46996-1173

Office Location

Street Address 6194 E MAIN ST
City MONTEREY
State IN
Zip 46960-9297

Competitor

Search similar physicians

City MONTEREY
Zip Code 46960
Specialty NURSE PRACTITIONER
City + Specialty MONTEREY + NURSE PRACTITIONER

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Dataset Information

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.

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