MR. VAN GREGORY ROBERTS


Address: 8202 S Access Rd Bldg 946, Columbus, OH 43217-5903
Phone: 6149891213

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
002763 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH OHIO LICENSE 002763 01

Office Location

Street Address 8202 S ACCESS RD BLDG 946
City COLUMBUS
State OH
Zip Code 43217-5903

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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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City COLUMBUS
Zip Code 43217

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Dataset Information

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.

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