MOLLY ROBERSON


Address: 9880 Angies Way Ste 250, Louisville, KY 40241-2865
Phone: 5023946341

MOLLY ROBERSON (NPI# 1194224048) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY KY LICENSE PA2333 01
IN IN LICENSE 10002406A 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1064 Eastern Pkwy, Louisville, KY 402171532 5024894325

Office Location

Street Address 9880 ANGIES WAY STE 250
City LOUISVILLE
State KY
Zip Code 40241-2865

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

Search similar providers

City LOUISVILLE
Zip Code 40241

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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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