MR. VAN GREGORY ROBERTS (NPI# 1063402394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063402394 |
Entity Type | Individual |
Full Name | MR. VAN GREGORY ROBERTS |
Credential | PA-C |
Practice Address |
8202 S Access Rd Bldg 946 Columbus OH 43217-5903 |
Mailing Address |
6158 Northcliff Blvd Dublin OH 43016-6713 |
Practice Telephone | 6149891213 |
Practice Fax Number | 6143366635 |
Mailing Telephone | 3016027463 |
Mailing Fax Number | 6143366635 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2010-05-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002763 | OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | OHIO LICENSE | 002763 | 01 |
Street Address |
8202 S ACCESS RD BLDG 946 |
City | COLUMBUS |
State | OH |
Zip Code | 43217-5903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053716183 | Scott Philip Thurston | Specialist/Technologist, Other | 333 W Brown Deer Rd #240, Milwaukee, WI 43217 | 2014-10-31 |
1720431091 | Robert Andrew Pence | Counselor | 1791 Alum Creek Dr, Columbus, OH 43217 | 2016-07-21 |
1649604166 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 2270 Rickenbacker Pkwy W, Columbus, OH 43217 | 2013-09-03 |
1730406182 | Latanya G Jones | Licensed Practical Nurse | 214 Buckeye Cir, Columbus, OH 43217-1000 | 2010-04-26 |
1497983993 | Andrea Lynnette Collins | Registered Nurse | 1928 Hemlock St, Columbus, OH 43217-1019 | 2009-06-24 |
1972892297 | Latitude Aeromedical International Inc | Ambulance | 7250 Star Check Dr, Columbus, OH 43217-1025 | 2011-04-07 |
1144760083 | Lisa Maureen Johnson | Registered Nurse | 1853 Spruce Dr, Columbus, OH 43217-1035 | 2017-02-26 |
1184928541 | Melissa M Sowers | Licensed Practical Nurse | 1885 Spruce Dr, Columbus, OH 43217-1035 | 2010-12-28 |
1720032626 | Robert T Maley | Pharmacist | 2270 Rickenbacker Pkwy W, Columbus, OH 43217-5002 | 2006-05-22 |
1720516750 | Johnny Herman Heskett | Pharmacist | 2270 Rickenbacker Pkwy W, Columbus, OH 43217-5002 | 2017-06-03 |
Find all providers in zip 43217 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972960359 | Autumn Combs | Physician Assistant | 437 N Gould Rd Apt F, Columbus, OH 43209-1139 | 2016-01-15 |
1740665926 | Julianne Gonzalez | Physician Assistant | 350 Manchester Expy, Columbus, GA 31904-6435 | 2015-07-29 |
1629461165 | Michael Bryant | Physician Assistant | 911 Rudgate Rd, Columbus, GA 31904-2948 | 2015-03-09 |
1174880447 | Ricky Lee Martin Jr. | Physician Assistant | 2326 18th St Ste 210, Columbus, IN 47201-5362 | 2012-04-11 |
1710068374 | April K Howell | Physician Assistant | 2008 Wynnton Rd, Columbus, GA 31906-2407 | 2006-10-18 |
1124035399 | Diane L. Mitchell | Physician Assistant | 1130 Talbotton Rd, Columbus, GA 31904-8749 | 2006-08-01 |
1194752790 | Karen L Goodale | Physician Assistant | 2881 Nc Hwy 108 E, Columbus, NC 28722-7721 | 2006-06-27 |
1164469979 | Mark H Epps | Physician Assistant | 2000 10th Ave Ste 270, Columbus, GA 31901-3706 | 2006-06-01 |
1164484689 | Jim Lawrence Mcevers | Physician Assistant | 109 Shult Dr, Suite 101, Columbus, TX 78934-3015 | 2006-04-03 |
1972586287 | Susan A Farwell | Physician Assistant | 45 E Mills St, Columbus, NC 28722 | 2005-11-22 |
Find all providers in COLUMBUS |
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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.