OLIVIA ROBERTS (NPI# 1063742567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063742567 |
| Entity Type | Individual |
| Full Name | OLIVIA ROBERTS |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
3500 Gaston Ave Dallas TX 75246-2017 |
| Practice Telephone | 2148200111 |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2016-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA05073 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521800 | Olivia Nicole Roberts | Social Worker | 2915 Cedar Mill Dr, Acworth, GA 30102-1571 | 2020-02-27 |
| 1700350139 | Olivia Roberts | Case Management | 102 Vaughn St, Warner Robins, GA 31098-1064 | 2019-01-18 |
| 1568916450 | Olivia Roberts | Occupational Therapy Assistant | 1000 Ruby Dr, Redfield, AR 72132-9118 | 2016-08-08 |
| 1750782496 | Olivia C Roberts | Physician Assistant | 3533 Southern Blvd Ste 2100, Kettering, OH 45429-1267 | 2014-09-12 |
| Street Address |
3500 GASTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395297 | Melanie K Flinn | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2096 | 2005-06-13 |
| 1811594690 | William C Haden Md Pllc | Internal Medicine | 3500 Gaston Ave, 4th Floor Jonsson Bl, Dallas, TX 75246-7524 | 2020-10-05 |
| 1770180705 | Rachel Elizabeth Stelzer | Nurse Anesthetist, Certified Registered | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-10-02 |
| 1366058653 | Onyinyechi Sarah Onwuelezi | Registered Nurse | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-09-22 |
| 1457962052 | Leah Amundson | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-17 |
| 1538779798 | Carrigan Lavon Belcher | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-03 |
| 1043820467 | Jenny Lee | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-08-01 |
| 1588273973 | Teena Sam | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-07-30 |
| 1588282925 | Ramy Doss | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-07-13 |
| 1053938704 | Melanie Johnson | Physical Therapist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700440 | Heather Weir | Physician Assistant | 7331 Gaston Ave Ste 180, Dallas, TX 75214-4131 | 2020-11-03 |
| 1225643562 | Yermiahu Levi Sarne | Physician Assistant | 6206 Preston Crest Ln, Dallas, TX 75230-1828 | 2020-09-14 |
| 1255945564 | Amanda Michelle Flores | Physician Assistant | 1801 Young St, Dallas, TX 75201 | 2020-09-03 |
| 1275151102 | Kelly Ashworth | Physician Assistant | 7331 Gaston Ave # 180, Dallas, TX 75214-4131 | 2020-07-07 |
| 1780201715 | Gabriela Yvonne Camacho | Physician Assistant | 7331 Gaston Ave Unit 180, Dallas, TX 75214-4131 | 2020-06-25 |
| 1346879699 | Ws Neuroassist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-80, Dallas, TX 75214-6126 | 2020-04-07 |
| 1265065122 | Sarah Bell Stewart | Physician Assistant | 7811 Bryn Mawr Dr, Dallas, TX 75225-8217 | 2020-02-19 |
| 1093348237 | Meagan Lee Barry | Physician Assistant | 221 W Colorado Blvd Ste 431, Dallas, TX 75208-2312 | 2020-02-17 |
| 1245863554 | Melissa Ann Johnston | Physician Assistant | 4373 Boca Bay Dr, Dallas, TX 75244-7408 | 2020-02-14 |
| 1205479607 | Mj Surgical, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 906, Dallas, TX 75207-3912 | 2019-10-18 |
| Find all providers in DALLAS | ||||
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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.