Individual
DR. KEVIN R. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1285 NININGER RD, HASTINGS, MN 55033-1086
(651) 480-4200
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-5000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
40335
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020037023
RAILROAD MEDICARE
MN
01
—
02F64RO
BLUE CROSS
MN
01
—
120840
UCARE MINNESOTA
MN
01
—
17-00169
MEDICA
MN
01
—
32371200
MEDICAID WI
MN
01
—
66-02258
MEDICA URGENT CARE
MN
01
—
764561
AMERICAS PPO
MN
01
—
942819400
GROUP HEALTH EAU CLAIRE
MN
05
—
942819400
—
MN
01
—
HP23558
HEALTH PARTNERS
MN
01
—
NA9141014588
PREFERRED ONE
MN
Enumeration date
03/15/2006
Last updated
10/27/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us