Minda Unidad Roan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MA44814 Issued in NJ

Practice address

110 NW 31St St Ste 201
Lawton, OK 73505-6100

Phone

(580) 585-5549

Fax

(580) 699-8223

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Minda Unidad Saguinsin Roan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588377600000",
    "number": "1477539740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7107",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735061107",
            "telephone_number": "580-574-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NW 31ST ST STE 201",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-585-5549",
            "fax_number": "580-699-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROAN",
        "first_name": "MINDA",
        "middle_name": "UNIDAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2020-05-02",
        "certification_date": "2020-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA44814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1536401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MINDA",
            "last_name": "SAGUINSIN ROAN",
            "middle_name": "UNIDAD",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anastacia Rosetta Rivers, LPN
• Laurette Elizabeth Rivers, APRN, CPNP-PC, CLC
• Alicia Roa
• Roadback Incorporated
• Roadback, Inc.
• Robert L Miracle, DMD, PC
• Robert M Love MD Inc
• Robert Miles Chisholm III MD PLLC
• Robert Muller DDS PC
• Crystal Roberts

• Pediatrics Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Pediatrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.