MR. JOEL ROBERTSON (NPI# 1215285366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215285366 |
| Entity Type | Individual |
| Full Name | MR. JOEL ROBERTSON |
| Credential | PA |
| Practice Address |
1400 Uinta Dr Green River WY 82935-5060 |
| Mailing Address |
2645 Illinois Ct Green River WY 82935-6131 |
| Practice Telephone | 3078724500 |
| Practice Fax Number | 3078724595 |
| Mailing Telephone | 3073993037 |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | WY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1400 UINTA DR |
| City | GREEN RIVER |
| State | WY |
| Zip Code | 82935-5060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306892047 | Kristine F Sherwin | Physician Assistant | 1400 Uinta Dr, Green River, WY 82935-5046 | 2006-05-25 |
| 1881242816 | Julianne E Forrester | Registered Nurse | 1400 Uinta Dr, Green River, WY 82935-5060 | 2019-09-03 |
| 1023356326 | Gerry C Smith | Occupational Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2013-01-21 |
| 1821393158 | Sara R Thompson | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2011-01-18 |
| 1265760714 | Castle Rock Physical Therapy | Physical Therapist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-11-20 |
| 1740414689 | Ihc Health Services Inc | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-05-06 |
| 1225271885 | Connie Aileen Fauntleroy | Pediatrics | 1400 Uinta Dr, Green River, WY 82935-5060 | 2009-04-13 |
| 1215102132 | Christa J Vandervort | Speech-Language Pathologist | 1400 Uinta Dr, Green River, WY 82935-5060 | 2008-04-23 |
| 1013057173 | Castle Rock Special Hospital District | Preventive Medicine | 1400 Uinta Dr, Green River, WY 82935-5046 | 2007-02-07 |
| 1952457996 | Castle Rock Special Hospital District | Clinic/Center | 1400 Uinta Dr, Green River, WY 82935-5060 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306376975 | Nicholas Henry Hastert | Physical Therapist | 330 Upland Way, Green River, WY 82935 | 2017-06-15 |
| 1174982045 | Marti Jo Sidwell | Case Management | 400 N 100 E, Suite 205, Green River, WY 82935 | 2016-02-19 |
| 1649428012 | Dana Kreusel | Physical Therapist | 520 Wilkes Dr Ste 17, Green River, WY 82935 | 2008-08-28 |
| 1902095375 | Peak Performance Sports Medicine Inc | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2007-10-22 |
| 1518159854 | Gordon Lee Balka | Preventive Medicine | General Chemical, 324 Allied Chemical Rd, Green River, WY 82935 | 2007-08-10 |
| 1720157316 | Daryl A Parker | Dentist | 190 E Flaming Gorge Way, Green River, WY 82935 | 2006-11-07 |
| 1891883203 | Darrin Lee Goyn | Physical Therapist | 541a East Flaming Gorge Way, Green River, WY 82935 | 2006-10-11 |
| 1740258466 | Michael Earl Nelson | Physical Therapist | 920 Upland Way, Green River, WY 82935 | 2006-03-09 |
| 1679702518 | Michael Ross Svejcar | Physical Therapist | 140 Commerce Drive, Green River, WY 82935 | 2009-07-14 |
| 1427215912 | Bryant Paul Birch | Dentist | 661 Uinta Dr, Green River, WY 82935 | 2008-05-21 |
| Find all providers in zip 82935 | ||||
| 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 |
|---|---|---|---|---|
| 1861962912 | Tyler J Rundell | Physician Assistant | 585 Main St, Green River, UT 84525 | 2018-12-03 |
| 1497840987 | Loye West | Physician Assistant | 305 West Main Street, Green River, UT 84525 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364051 | Breiana Pedersen | Physician Assistant | 705 Robbies View Dr, Lander, WY 82520-3951 | 2020-10-25 |
| 1821695339 | Breanna Alisia Young | Physician Assistant | 521 Shoshoni Trl, Glenrock, WY 82637-5217 | 2020-10-07 |
| 1083187199 | Chelsea Eddington | Physician Assistant | 620 Granite Peak Dr Apt 307, Casper, WY 82609-4551 | 2019-01-10 |
| 1174006928 | Robert Walter Carpenter | Physician Assistant | 1208 Hilltop Dr Ste 203, Rock Springs, WY 82901-5859 | 2018-09-07 |
| 1821595224 | Abby Rogers | Physician Assistant | 1331 Prairie Ave Ste 2, Cheyenne, WY 82009-4867 | 2018-04-11 |
| 1467950154 | Kaylun Grandy | Physician Assistant | 1952 Harrison Drive, Evanston, WY 82930-3241 | 2018-01-27 |
| 1336657527 | Lauren Andrews | Physician Assistant | 4140a Laramie St, Cheyenne, WY 82001-1969 | 2018-01-22 |
| 1326591058 | Gale Dahlager Crozier | Physician Assistant | 1 Interloop Rd, Jackson Lake Lodge, Moran, WY 83013 | 2016-07-29 |
| 1255724258 | Jason L Ray | Physician Assistant | 103 W. 3rd St., Marbleton, WY 83113 | 2015-03-15 |
| 1679972798 | Jeffrey Brown | Physician Assistant | 925 Birch St, Glenrock, WY 82637-0786 | 2014-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GREEN RIVER |
| Zip Code | 82935 |
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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.