DR. STEPHANIE FELICIA ROBERSON (NPI# 1083634380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083634380 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE FELICIA ROBERSON |
| Credential | M.D. |
| Practice Address |
1000 Medical Center Blvd Lawrenceville GA 30046-7694 |
| Practice Telephone | 6783124440 |
| Mailing Telephone | 6783124440 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
053599 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | RR MEDICARE | P00683397 | 01 |
| GA | 436845418 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376521419 | Stephanie Renee Roberson | Technician, Other | Us Coast Guard, 2100 2nd St Sw Suite 5314, Washington, DC 20593-0001 | 2006-01-09 |
| 1861807992 | Stephanie Roberson | Registered Nurse | 440 Taylor Rd, Ste 3380, Montgomery, AL 36117-3588 | 2014-06-27 |
| 1780006817 | Stephanie Maria Roberson | Nurse Anesthetist, Certified Registered | 750 Ne 13th St Ste 200, Oklahoma City, OK 73104-5024 | 2014-01-08 |
| 1396000907 | Stephanie Lynne Roberson | Emergency Medicine | 1735 27th St, Waller Bldg, Suite B 06, Portsmouth, OH 45662-2677 | 2012-07-10 |
| Street Address |
1000 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203757 | Peter J Kaplan | Specialist | 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694 | 2005-05-24 |
| 1780281469 | Khatija Jivani | Pharmacist | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-10-06 |
| 1780298356 | Jennifer Nicole Venable | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-09-01 |
| 1639782378 | Tehzeeb Babwani | Anesthesiologist Assistant | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-08-24 |
| 1801417480 | Northside Hospital Inc | Pharmacy | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-05-05 |
| 1851929996 | Mclean Davies | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-04-01 |
| 1861029423 | Jaemi Chu | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1548897267 | Sharul Saxena | Internal Medicine | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-24 |
| 1235766148 | Nahayo Esperant-hilaire | Student in an Organized Health Care Education/Training Program | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-23 |
| 1982239596 | Riley Claire Cullen | Nurse Practitioner | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2020-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366648784 | S. Hurn Baek | Radiology | Lawrence County Memorial Hospital, Radiology, 2200 W. State St., Lawrenceville, IL 62439 | 2007-06-22 |
| 1346740230 | Alliance Health Care Inc | Radiology | 3545 Cruse Rd Ste 103, Lawrenceville, GA 30044-3169 | 2018-02-16 |
| 1467984054 | Brian Arun Xavier | Radiology | 665 Duluth Hwy, Suite 401, Lawrenceville, GA 30046-3328 | 2017-04-01 |
| 1811440522 | Women's Imaging Specialists | Radiology | 1655 Lebanon Rd, Suite B, Lawrenceville, GA 30043-5116 | 2016-07-28 |
| 1912221359 | Amish Tilara | Radiology | 600 Professional Dr, Suite 160a, Lawrenceville, GA 30046-7651 | 2010-03-14 |
| 1588897508 | Open Mri of Georgia, Inc | Radiology | 600 Professional Dr, Suite 100, Lawrenceville, GA 30045-7651 | 2009-08-25 |
| 1588824825 | Mark G. Ferrara | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-06-10 |
| 1477711919 | Justin Derek Caughron | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-05-31 |
| 1295911808 | David Nelson Anderson | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2008-01-14 |
| 1841482478 | Lance G. Dasher | Radiology | 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694 | 2007-08-17 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
Please comment or provide details below to improve the information on DR. STEPHANIE FELICIA ROBERSON.
| 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.