| Dr Conor Scott Roche, MD | |
| 1300 S. Columbia Rd, Grand Forks, ND 58201 | |
| (701) 780-5000 | |
| (701) 293-4148 | 
| Full Name | Dr Conor Scott Roche | 
|---|---|
| Gender | Male | 
| Speciality | Surgery | 
| Location | 1300 S. Columbia Rd, Grand Forks, North Dakota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1316509227 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | RL15781 (North Dakota) | Secondary | 
| 208600000X | Surgery | 21127 (North Dakota) | Primary | 
| Entity Name | Altru Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043309552 PECOS PAC ID: 1355251604 Enrollment ID: O20031111000714 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Conor Scott Roche, MD Po Box 13780, Grand Forks, ND 58208 Ph: (701) 780-1891 | Dr Conor Scott Roche, MD 1300 S. Columbia Rd, Grand Forks, ND 58201 Ph: (701) 780-5000 | 
| Seye Adekeye, M.D., PH.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 501 N Columbia Rd Stop 9037, Und Department Of Surgery, Grand Forks, ND 58202 Phone: 701-777-3067 | |
| Jonathan Roberts, MD Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd Stop 9037, Suite E270, Grand Forks, ND 58202 Phone: 701-777-5945 | |
| Bradley P Belluk, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-2300 Fax: 701-780-1942 | |
| Dr. Kathleen Claire Gallagher, MD Surgery Medicare: Medicare Enrolled Practice Location: 1300 S. Columbia Road, Grand Forks, ND 58201 Phone: 701-780-5000 | |
| Dr. Wade Anthony Hopper, DO Surgery Medicare: Medicare Enrolled Practice Location: 1301 N Columbia Rd Stop 9037, Grand Forks, ND 58202 Phone: 701-777-3069 | |
| Nathan Sarli, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-3069 | |
| Katherine Alice Senter, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477 |