JUDY JENNIFER ROBERTS (NPI# 1275575144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275575144 |
| Entity Type | Individual |
| Full Name | JUDY JENNIFER ROBERTS |
| Credential | DO |
| Practice Address |
1055 Saxon Blvd Orange City FL 32763-8468 |
| Mailing Address |
Po Box 9430 Daytona Beach FL 32120-9430 |
| Practice Telephone | 3869434522 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2008-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | OS9253 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS OF FLORIDA | 49661 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891813119 | Judy Roberts | Counselor | 2005 Yaupon Trl, Round Rock, TX 78664-7127 | 2007-03-26 |
| 1700418647 | Judy Ann Roberts | Social Worker | 4455 E 12th Ave, Denver, CO 80220-2415 | 2020-02-09 |
| 1912101858 | Judy Lynn Roberts | Respiratory Therapist, Certified | 4885 S 900 E, Suite 107, Salt Lake City, UT 84117-5746 | 2007-06-13 |
| 1861416620 | Judy L Roberts | Nurse Anesthetist, Certified Registered | 129 N Washington St, Sumter, SC 29150-4949 | 2006-07-26 |
| 1932104189 | Judy C. Roberts | Counselor | 1800 Westlake Ave N, Ste 110, Seattle, WA 98109-2782 | 2005-06-15 |
| Street Address |
1055 SAXON BLVD |
| City | ORANGE CITY |
| State | FL |
| Zip Code | 32763-8468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598747982 | Ce Bunnell & Associates Pllc | Pathology | 1055 Saxon Blvd, Dept. of Pathology, Orange City, FL 32763-8468 | 2005-11-19 |
| 1811517527 | Raquel Duzant | Speech-Language Pathologist | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2020-04-22 |
| 1245881473 | Emily Hidalgo | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-29 |
| 1033760012 | Cristyl Rachelle Mcclure | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-09-22 |
| 1548816390 | Samantha Tronolone | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-08-16 |
| 1851959407 | Autumn Enrique Oakes | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-30 |
| 1306403373 | Nancy Vazquez | Nurse Practitioner | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2019-05-24 |
| 1013411172 | Tasha Naomi Brickhouse | Dietitian, Registered | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2018-03-22 |
| 1821370685 | Derek Nelson | Physician Assistant | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-09-16 |
| 1417236902 | Zachary E Ballenger | Radiology | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2011-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043852783 | Khushboo Patel | Nurse Practitioner | 915 Harley Strickland Blvd, Orange City, FL 32763 | 2019-10-15 |
| 1598325466 | Steves Hearingllc | Hearing Aid Equipment | 742 N Volucia Ave., Orange City, FL 32763 | 2019-06-13 |
| 1740762194 | Jamie Elizabeth Price | Speech-Language Pathologist | 2705 Rebecca Lane Suite B, Orange City, FL 32763 | 2018-09-02 |
| 1841771821 | Ashley Katherine Taylor | Early Intervention Provider Agency | 358 W Wisconsin Ave, Orange City, FL 32763 | 2018-08-27 |
| 1033636048 | Kimberly Michelle Belk | Social Worker | 300 Treemonte Dr, Orange City, FL 32763 | 2017-08-30 |
| 1588198733 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1320 Saxon Blvd, Orange City, FL 32763 | 2017-04-14 |
| 1629515333 | Anewerface, Inc | Clinic/Center | Address: 123 N Industrial Dr Ste C, Orange City, FL 32763 | 2017-01-20 |
| 1184073322 | Carolyn Ann Damato | Specialist/Technologist, Other | 1350 13th Street, Orange City, FL 32763 | 2016-06-08 |
| 1225451784 | Shamika Spencer | Nurse Practitioner | 932 Saxon Blvd Ste A, Orange City, FL 32763 | 2014-02-03 |
| 1972882314 | Orange City Anesthesia Services LLC | Anesthesiology | 975 Town Center Dr Ste 100, Orange City, FL 32763 | 2011-08-16 |
| Find all providers in zip 32763 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497794739 | Wayne Barry | Emergency Medicine | 1055 Saxon Blvd., Florida Hospital Fish Memorial, Orange City, FL 32763 | 2006-06-05 |
| 1982924148 | Michelle M Ramia | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2010-06-10 |
| 1215166749 | Elizabeth Jean Miller | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2009-07-06 |
| 1962533257 | Paul Chanmugam Crossette | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2007-03-08 |
| 1033130471 | Gerard Joseph Newcomer | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-07-21 |
| 1609895275 | Tracy I Weiner | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-07-18 |
| 1639101397 | Allen James Jones | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-07-06 |
| 1598791964 | Winston Edison Lightburn | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-06-25 |
| 1033153069 | Amy Sue Kelley | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-06-16 |
| 1710921390 | Paul Christopher Marton | Emergency Medicine | 1055 Saxon Blvd, Orange City, FL 32763-8468 | 2006-06-15 |
| Find all providers in ORANGE CITY | ||||
| City | ORANGE CITY |
| Zip Code | 32763 |
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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.