Tamim Khromachou, MD

Tamim Rogers Khromachou, MD, graduated in 2005 from the Medical School of Tishreen University in Latakia, Syria.  Tishreen University is one of the most highly regarded medical schools on the east coast of the Mediterranean Sea and Middle East.  After graduation from medical school he worked as a solo physician in a small rural community in the Latakia countryside.  He later worked on medical research in cancer and advanced life support in the United States.  Dr. Khromachou started in a Residency Training Program at the Altru Family Medicine Residency Program in Grand Forks, ND, in 2011.  The majority of his training and work took place at Altru Hospital, affiliated with Mayo Clinic.  He passed his board exam on the first attempt with an excellent score and graduated in 2014.  He is currently working on his Master's Degree in Health Informatics.  He has also published medical journals and most recently published an article in Clinical Infectious Diseases in The Oxford Journals.  Based on that article, Dr. Khromachou was the first reported physician to diagnose Leshmaniasis in North Dakota and the whole Midwest.  He is very proud of his strong medical training and compassionate relationship with his patients.  He is a family-oriented person and loves interacting with new people.  He likes to invest in the prosperity of the communities in which he has lived and looks forward to investing in the Langdon community and surrounding area.  In his spare time, Dr. Khromachou enjoys hunting, fishing, swimming, and playing soccer.  He loves gardening and growing his own tomatoes, cucumbers, beans, and various herbs.  Dr. Khromachou is very excited to join CCMH & Clinics where he can contribute to the excellence in patient care and serve the lovely people of Cavalier County and surrounding regions.


Randy Noyes, DO

Dr. Noyes comes to CCMH with practice experience in both family practice and pediatrics. He graduated from Des Moines University with a D.O. degree. Following medical school he completed a pediatrics residency at Long Island College Hospital/Beth Israel Medical Center in New York City. He practiced pediatrics for 3 years before pursuing training in family medicine. He completed a family practice residency at Clarion Hospital in Pennsylvania in 2009. He most recently practiced in Appleton and Fairmont, MN.

Dr. Noyes grew up in southern Minnesota and most of his family still reside there. He is excited about the opportunity to join and contribute to the Langdon community.


Suresh Patel, MD

Dr. Patel comes to Cavalier County Memorial Hospital with 40 years of experience as an internal medicine physician.  Before moving to the United States, Dr. Patel graduated from medical school at the University of Calcutta, worked in Uganda, East Africa and completed his residency in Lincoln, England.  He has experience in emergency medicine, internal medicine, gastroenterology, pulmonology, cardiology, intensive care, pediatrics and geriatrics.  Dr. Patel has been a practicing physician in North Dakota for the past 23 years and joined the staff of CCMH in September 2008.

Dr.  Patel and his wife, Indu, live in Plymouth, MN.  Indu, who is also a physician, is board certified in OB/GYN and anesthesiology.  They have two daughters.





 Gwen Witzel

 Family Nurse Practitioner-Certified

Gwen Witzel is a board certified Family Nurse Practitioner who provides primary care to patients of all ages.  She has experience in family practice, urgent care and emergent care and is credentialed in ACLS, ATLS, and PALS.  She has had specialty training in asthma care and women’s health.  Witzel obtained her Master's Degree in Nursing with a Family Nurse Practitioner specialty from UND in Grand Forks in 1997.  In 2009 Gwen Witzel was recognized as the ND Rural Health Provider of the year. This award is presented to a health care clinician whose practice is in rural North Dakota. It is a lifetime service award to a rural health care provider who has unselfishly made an important contribution to their community and area. The award is sponsored by the Center for Rural Health, UND, and School of Medicine and Health Sciences. Gwen had 10 years experience as an RN having worked in the cardiac care unit in Fargo, cardiac and neurology floors in a trauma hospital in Scottsdale, AZ, and staff nursing in all areas at CCMH in Langdon, ND.  Witzel is active in her professional organizations. She is on the Board of Directors for the American Academy of Nurse Practitioners serving as the director of Region 8.  The mission of the American Academy of Nurse Practitioners is to: Promote excellence in Nurse Practitioner (NP) practice, education and research; Shape the future of healthcare through advancing health policy; Build a positive image of the NP role as a leader in the national and global healthcare community. She is also on the executive committee for the ND Nurse Practitioner Association. Her hobbies include sports, fishing, quilting, and reading.  Gwen Witzel joined the CCMH medical staff in June 1997.





Elizabeth Sillers

Family Nurse Practitioner-Certified

Elizabeth Sillers is an Nurse Practitioner at Cavalier County Memorial Hospital. Originally from Calvin, North Dakota, she currently resides in Langdon with her husband Jason and twin daughters. She has practiced as an NP for nearly ten years and has a special interest in type 2 diabetes management. Liz graduated from the University of North Dakota with a BSN in 1996 and MSN in 2001. She is board certified by the American Academy of Nurse Practitioners and belongs to the North Dakota Nurse Practitioner Association as well. In her spare time, she enjoys traveling, spending time with her family and reading.





Danielle Skaar

Family Nurse Practitioner-Certified

Ms. Skaar grew up near Webster, ND and attended school at Starkweather, graduating in 1996.  She attended UND, majoring in nursing and graduating in 2000.  Skaar graduated from the FNP program in May 2005.  Her previous FNP experiences have been in family practice at First Care Health Center in Park River and at Altru Clinic Lake Region in Devils Lake.  She enjoys the variety that working in family practice offers, but especially enjoys the areas of pediatrics and dermatology.  Danielle is a Certified Lactation Counselor which allows her to assist mothers and babies with questions or problems related to breastfeeding.  She is certified by the American Academy of Nurse Practitioners and involved in North Dakota Nurse Practitioner Association as well.  Danielle and her husband, Jason, farm near Hampden and have three children.  Ms. Skaar joined the staff at CCMH Hospital and Clinics in April 2008.


Ashton Fischer

                                      Physican Assistant - Certified


Ashton Fischer is a board certified Physician Assistant at Cavalier County Memorial Hospital. She graduated from North Dakota State University where she received a BS of Zoology in 2012 and then attended graduate school at Wichita State University where she received her Masters of Physician Assistant in 2015.  Her Physician Assistant training included 14 months in the classroom setting and 12 months in the clinical setting at 11 different clinical rotation sites.  She has extensive clinical experience in family medicine as well as training in several specialties including dermatology, orthopedics, pediatrics, general surgery, and emergency medicine.  Prior to her acceptance into PA school, Ashton worked as a certified nurse aide for 4 years and then worked with children and adults who had disabilities for 1 year.  She is board certified by the National Commission on Certification of Physician Assistants, belongs to the North Dakota Academy of Physician Assistants and Kansas Academy of Physician Assistants, and is certified in ACLS and BLS.  She has a special interest in family medicine, dermatology, pediatrics, orthopedics, and preventive medicine.  In her spare time, she enjoys spending time with her fiancé, family and friends, going to the lake, attending Bison football games, and reading.  Ashton is very excited to move back to Langdon and start providing quality healthcare to her hometown community and surrounding areas.