| Timothy Roach, DO | |
| 500 University Dr, Hershey, PA 17033-2360 | |
| (717) 531-6039 | |
| Not Available | 
| Full Name | Timothy Roach | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Emergency Medicine | 
| Location | 500 University Dr, Hershey, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013328913 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 04084 (Kentucky) | Secondary | 
| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | OS020426 (Pennsylvania) | Primary | 
| Entity Name | The Milton S Hershey Medical Center Physicians Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Timothy Roach, DO 500 University Drive, Mail Code H043; Po Box 850, Hershey, PA 17033 Ph: (717) 531-6039 | Timothy Roach, DO 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6039 | 
| Kanthi Bangalore Krishna, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
| Emily Elizabeth Gibbons,  Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
| Mata Alexi Adams, MD, MS Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-8521 | |
| Eric J Michael, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-233-4082 | |
| Megan Ilgenfritz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-5606 Fax: 717-531-0648 | |
| Margaret Storm,  Pediatrics Medicare: Medicare Enrolled Practice Location: Penn State Health Milton S Hershey Medical Center, 500 University Drive, Hershey, PA 17033 Phone: 717-531-7300 Fax: 717-531-8992 |