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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
151305 | PULASKI MEMORIAL HOSPITAL |
150102 | STARKE HOSPITAL |
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 Legal Name | PULASKI MEMORIAL HOSPITAL |
Physicians | 19 |
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 |
Street Address |
6194 E MAIN ST |
City | MONTEREY |
State | IN |
Zip | 46960-9297 |
City | MONTEREY |
Zip Code | 46960 |
Specialty | NURSE PRACTITIONER |
City + Specialty | MONTEREY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Sandra E Roth.
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.