MOLLY ROBERSON (NPI# 1194224048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194224048 |
Entity Type | Individual |
Full Name | MOLLY ROBERSON |
Credential | PA |
Practice Address |
9880 Angies Way Ste 250 Louisville KY 40241-2865 |
Mailing Address |
3605 Northgate Ct Ste 204 New Albany IN 47150-6422 |
Practice Telephone | 5023946341 |
Practice Fax Number | 5023946340 |
Mailing Telephone | 8122072130 |
Mailing Fax Number | 8122072140 |
Enumeration Date | 2018-02-06 |
Last Update Date | 2019-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | KY LICENSE | PA2333 | 01 |
IN | IN LICENSE | 10002406A | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1064 Eastern Pkwy, Louisville, KY 402171532 | 5024894325 |
Street Address |
9880 ANGIES WAY STE 250 |
City | LOUISVILLE |
State | KY |
Zip Code | 40241-2865 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467590190 | Ryan Jeffrey Krupp | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2007-02-02 |
1326422171 | Robert Shelley Jr. | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-07-10 |
1912391053 | Jonathan David Gillig | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2015-03-26 |
1316365653 | Kevin Himschoot | Orthopaedic Surgery | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2014-04-03 |
1962768366 | Abigail B. Gardner | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2012-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
Find all providers in zip 40241 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124072590 | David R Yeager | Physician Assistant | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2006-05-20 |
1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
1710528336 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-04 |
1316588957 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-04 |
1699328880 | Amy Elizabeth Seldon | Physician Assistant | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2019-07-17 |
1093287815 | Allie Rush Romines | Physician Assistant | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2018-12-18 |
1619475225 | Community Medical Associates, Inc. | Physician Assistant | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-29 |
1942614987 | Courtney R Hamm | Physician Assistant | 3 Audubon Plaza Dr, Suite 530, Louisville, KY 40217-1300 | 2014-06-18 |
1891004669 | Elizabeth Marie Kordik | Physician Assistant | 3900 Kresge Way, Suite 46, Louisville, KY 40207-4660 | 2010-09-28 |
Find all providers in LOUISVILLE |
City | LOUISVILLE |
Zip Code | 40241 |
Please comment or provide details below to improve the information on MOLLY 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.