WILLIAM MICHAEL ROBERTS (NPI# 1023179702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023179702 |
| Entity Type | Individual |
| Full Name | WILLIAM MICHAEL ROBERTS |
| Credential | CPO |
| Practice Address |
4660 Portland Rd Ne Suite 107 Salem OR 97305-1684 |
| Practice Telephone | 5033906992 |
| Practice Fax Number | 5033906992 |
| Mailing Telephone | 5033906992 |
| Mailing Fax Number | 5033906992 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 067686 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740707322 | William Roberts | Acupuncturist | 264 Haywood Rd Ste 2, Asheville, NC 28806-4551 | 2017-08-24 |
| 1023470150 | William Carleton Roberts II | Counselor | 3567 Wales Dr, Dayton, OH 45405-1844 | 2016-03-28 |
| 1144663915 | William Lewis Roberts | Occupational Therapist | 6874 Orizaba Ave, El Paso, TX 79912-2324 | 2013-04-11 |
| 1285876953 | William Joseph Roberts Jr. | Specialist/Technologist, Other | 237 Hanbury Rd E, Suite 17 #242, Chesapeake, VA 23322-6621 | 2009-03-27 |
| 1174721195 | William Lee Roberts | Specialist | 22245 Stillwood Dr, Land O Lakes, FL 34639-4612 | 2007-07-11 |
| 1962517615 | William L Roberts | Dentist | 176a University Parkway West, Jackson, TN 38305 | 2006-08-21 |
| 1871517896 | William Paul Roberts Jr. | Dentist | 800 Toll House Ave, Frederick, MD 21701-4519 | 2006-07-26 |
| 1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
| 1740258805 | William Louis Roberts | Anesthesiology | 4329 E Ashler Hills Dr, Cave Creek, AZ 85331 | 2006-03-14 |
| 1831173491 | William Enderle Roberts | Pathology | 1240 Southampton Dr, Alexandria, LA 71303 | 2005-12-06 |
| Street Address |
4660 PORTLAND RD NE SUITE 107 |
| City | SALEM |
| State | OR |
| Zip Code | 97305-1684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821639147 | Christine Ann Featherstone | Social Worker | Chemawa Indian Health Center, 3750 Chemawa Road, Salem, OR 97305 | 2019-10-08 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1770002271 | Traci L Lee | Case Manager/Care Coordinator | 3876 Beverly Ave Bldg G, Salem, OR 97305 | 2017-09-15 |
| 1952825762 | Matthew Paul Martin | Dentist | 2737 Lancaster Dr Ne Ste 150, Salem, OR 97305 | 2017-08-02 |
| 1043750367 | Sherri King | Physical Therapy Assistant | 4696 Reimann St Ne, Salem, OR 97305 | 2017-03-06 |
| 1760861314 | Amara Lenore Peterson | Counselor | 4347 Sunnyview Rd Ne, Salem, OR 97305 | 2015-05-28 |
| 1720467954 | Heather Rose | Community Health Worker | 4347 Sunnyview Road Ne, Salem, OR 97305 | 2015-05-20 |
| 1588057004 | Carmen Heidecke | Counselor | 4347 Sunnyview Rd. Ne, Salem, OR 97305 | 2015-03-08 |
| 1629476825 | Bryan James Greenaway | Audiologist | 3857 Wolverine St Ne Ste C-16, Salem, OR 97305 | 2014-12-21 |
| 1710300322 | Christopher Ryan | Counselor | 4385 Sunnyview Road Ne, Salem, OR 97305 | 2014-02-03 |
| Find all providers in zip 97305 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007607 | Shannon Levin | Prosthetic/Orthotic Supplier | 441 Union St Ne, Salem, OR 97301-2458 | 2014-06-09 |
| 1518396183 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 23 Stiles Rd Ste 218, Salem, NH 03079-2854 | 2013-11-05 |
| 1417257742 | A Step Forward LLC | Prosthetic/Orthotic Supplier | 744 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2010-11-03 |
| 1891922076 | Lady Grace Stores, Inc. | Prosthetic/Orthotic Supplier | 236 N Broadway, Salem, NH 03079-2131 | 2009-06-16 |
| 1649430851 | Davis and Davis Inc | Prosthetic/Orthotic Supplier | 355 E 3rd St, Salem, VA 24153-5019 | 2008-06-11 |
| 1396746954 | Ladies First Choice Inc | Prosthetic/Orthotic Supplier | 2375 Grear St Ne, Salem, OR 97301-2747 | 2005-08-04 |
| 1639583198 | Mobility Solutions Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 441 Union St Ne, Salem, OR 97301-2458 | 2014-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500705 | Synergy Medical Systems, LLC | Prosthetic/Orthotic Supplier | 19365 Sw 65th Ave Ste 210, Tualatin, OR 97062-9196 | 2020-08-28 |
| 1174892640 | Cognitive Harmonics, Inc | Prosthetic/Orthotic Supplier | 2104 Hill Way, Medford, OR 97504-6208 | 2011-12-29 |
| 1841581717 | Pacific Footwear Company Inc | Prosthetic/Orthotic Supplier | 1150 Knutson Ave, Suite 12, Medford, OR 97504-3100 | 2011-04-27 |
| 1467783761 | Elliott Pedorthic Care LLC | Prosthetic/Orthotic Supplier | 85084 Kensington Dr, Pleasant Hill, OR 97455-9621 | 2010-01-26 |
| 1780836049 | Angel Hair Foundation Inc | Prosthetic/Orthotic Supplier | 2783 Suncrest Ave, Eugene, OR 97405-5923 | 2008-10-17 |
| 1295986065 | Mirage Hair Systems, Inc. | Prosthetic/Orthotic Supplier | Suite 210 Oakway Ctr, Suite 210, Eugene, OR 97401-5618 | 2008-10-09 |
| 1457517138 | Genesis Medical Group, LLC. | Prosthetic/Orthotic Supplier | 16679 Boones Ferry Rd Ste 215, Lake Oswego, OR 97035-4368 | 2008-08-01 |
| 1518148105 | Paradox Walkfit Inc. | Prosthetic/Orthotic Supplier | 15532 Sw Pacific Hwy, Suite C1a, Tigard, OR 97224-3598 | 2007-11-24 |
| 1821286501 | Willamette Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 333 Nw Larch Ave Ste 1, Redmond, OR 97756-1359 | 2007-10-09 |
| 1659569325 | Willamette Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 345 Se Norton Ln Ste A, Mcminnville, OR 97128-8480 | 2007-10-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.