Accessibility Tools


  • Anuruddh Kumar Misra, MD, FACP, CAQSM, QMEBoard Certified in Sports Medicine Primary Care And Board Certified Physician in Internal Medicine

    Dr. Misra joined ShoulderMD over 2 years ago and has greatly enhanced the patient experience providing best practice techniques and consultations while maintaining the patient at the center of care. Dr. Misra has a unique passion for Sports Medicine that has enabled him to train internationally with renowned Internist Dr. James R. Andrews. He was selected as only a few Physicians to have been trained by a founding father of modern Sports Medicine.

  • Jay is a nationally certified nurse practitioner in orthopaedic surgery and sports medicine at ShoulderMD. He works closely with Dr. Roache in clinic and surgery to oversee patient care. His care philosophy is based on building a partnership that promotes whole health and wellness. He is passionate about utilizing technology, integrating advances in telehealth, clinical education, and clinic procedures.

Care Team

  • Michelle Donaldson, BSN, MHAAdministrator and Business Development

    As Administrator and oversight of business development, Michelle leads operations at ShoulderMD including financials, contracting, human resources, team building and relations, strategy, and other patient and professional services while developing the brand and growth of the practice.

  • Megan FlinnerOperations Manager

    Megan has been working in healthcare for over 15 years. For the past 7 years she has managed her own business overseeing operations for physician entrepreneurs specializing in Orthopedic Surgery. Megan’s clients span nationwide including physicians at Penn State and the Cleveland Clinic.

  • Nicole BillingsSurgery Coordinator

    With over 20 years of experience in medical offices, Nicole is instrumental for developing ShoulderMD from the ground floor. She has spent the last 12 years working for ShoulderMD and expanding her skills from front and back office to medical assistant and now surgery coordinator.

  • Maria NicollPatient Intake Coordinator

    As Patient Intake Coordinator, Maria is the friendly face of ShoulderMD. She has over 20 years working in multiple capacities of healthcare and understands the challenges patients face when navigating the pathway to better health. Being bi-lingual and living in the Sonoma area for over 15 years, Maria uses her skills to lead patients through the practice while understanding the local area and culture.

  • Rosa NicollPatient Care Coordinator
    Workers Compensation Specialist

    Rosa has spent over 30 years in healthcare specializing in workers compensation. She began as a medical assistant and quickly realized her passion for assuring the best care for the patient which led her into an operational role at one of the largest workers compensation organizations in the nation. Being bi-lingual, Rosa takes great care in assuring the Spanish speaking workers compensation patients have the assistance they need from an experienced navigator.

  • Yvonne Ramos, BA, MHAPatient Care Coordinator
    Front Business Office Specialist

    As a Patient Care Coordinator and Front Business Office Specialist, Yvonne brings a wide array of skills and experience to ShoulderMD. Yvonne is an entrepreneur having owned and run her own company specializing in practice management and front business office affairs for over 5 years. Yvonne’s experience expands 9 years into billing and coding as well as human resources and project management.

  • Sophie GeddieDatabase Developer

    Sophie is an accomplished technology manager and organizational project management consultant. She collaborates with the team to help streamline workflows and communication, automate work processes and deliver business metrics. Sophie holds a deep technical knowledge in the business process management space which is evident in her ability to create tools that enhance efficiency and produce effective outcomes.