STEPHEN ROBERTS (NPI# 1275828121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275828121 |
| Entity Type | Individual |
| Full Name | STEPHEN ROBERTS |
| Credential | MD |
| Practice Address |
55 Fogg Rd Weymouth MA 02190 |
| Mailing Address |
141 Longwater Dr Ste 201 Norwell MA 02061-1620 |
| Practice Telephone | 7816248000 |
| Mailing Telephone | 7817924136 |
| Mailing Fax Number | 7818786750 |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2018-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 269255 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MEDS8287 | AK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3291 Loma Vista Rd, Ventura, CA 930033099 | 8056526228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609154699 | Stephen E, Roberts | Registered Nurse | 2153 S. 1st Avenue, Maguire Building Room 1900, Maywood, IL 60153 | 2011-07-26 |
| 1881917169 | Stephen J Roberts | Nurse Anesthetist, Certified Registered | 100 Great Meadow Rd Ste 208, Wethersfield, CT 06109-2355 | 2010-03-01 |
| 1912170069 | Stephen M Roberts | Dentist | 4431 Kingwood Dr, Kingwood, TX 77339-3701 | 2008-04-09 |
| 1275723033 | Stephen Jan Roberts | Orthopaedic Surgery | 103 S Park Dr, Ste B, Brownwood, TX 76801-5905 | 2007-07-27 |
| 1194891994 | Stephen H Roberts | Counselor | 40 Camelot Drive, Fond Du Lac, WI 54935 | 2006-11-27 |
| 1811001134 | Stephen E. Roberts | Social Worker | 233 New Scotland Ave, Albany, NY 12208-3114 | 2006-08-17 |
| 1184630022 | Stephen Roberts | Social Worker | 4951 Arroyo Rd Rm 446, Livermore, CA 94550-9650 | 2006-07-31 |
| 1700814688 | Stephen D Roberts | Legal Medicine | 315 East 105th Street, 101, New York, NY 10029-5071 | 2006-06-29 |
| 1063416667 | Stephen A Roberts | Family Medicine | 1771 Skyland Blvd E, Tuscaloosa, AL 35405-4235 | 2005-06-10 |
| 1083234645 | Stephen Nicholas Roberts | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-04-23 |
| Street Address |
55 FOGG RD |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922626233 | Susan Duty | Registered Nurse | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-07-13 |
| 1104443670 | Olivia Sennett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2020-07-01 |
| 1962028290 | Kristin M Gerritsen | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2020-06-23 |
| 1972142834 | Shannon Badgett | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-12-24 |
| 1487298865 | Colleen Marie Sullivan | Counselor | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-10-29 |
| 1164073144 | Hilary Margaret Flynn | Nurse Practitioner | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-22 |
| 1922658863 | Heather Kathryn Ewell | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-09-12 |
| 1043870793 | Lindsey Burke | Nurse Anesthetist, Certified Registered | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-06-15 |
| 1699237008 | Kendall Jasinski | Social Worker | 55 Fogg Rd, Weymouth, MA 02190-2455 | 2019-04-03 |
| 1467925198 | Alexandra Mckelvey | Physician Assistant | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2019-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932134434 | Martin Iser | Family Medicine | 795 Bridge Street, Weymouth, MA 02191 | 2006-07-12 |
| 1063471845 | Avi Schachter | Family Medicine | 795 Bridge St, Weymouth, MA 02191-2139 | 2006-03-21 |
| 1700852407 | Michael Christopher O'gorman | Family Medicine | 90 Libbey Pkwy Suite 100, South Shore Hospital Center for Wound Healing, Weymouth, MA 02189 | 2006-02-23 |
| 1396726006 | Healthcare South PC | Family Medicine | 97 Libbey Pkwy, Suite 204, Weymouth, MA 02189-3110 | 2005-11-09 |
| 1114377157 | Sima Parikh | Family Medicine | 55 Fogg Rd, Weymouth, MA 02190 | 2016-06-21 |
| 1912241951 | Kelly Lannutti | Family Medicine | 55 Fogg Rd, Weymouth, MA 02190-2432 | 2012-11-15 |
| 1740446087 | Bonu Kapoor-mohimen | Family Medicine | 90 Libbey Industrial Pkwy, Weymouth, MA 02189-3129 | 2008-08-06 |
| 1912160045 | Gerald Liu | Family Medicine | 90 Libbey Industrial Pkwy, Ste 106, Weymouth, MA 02189-3129 | 2008-07-09 |
| 1356421945 | Hingham Weymouth Family Medical Assoc PC | Family Medicine | 795 Bridge Street, Weymouth, MA 02191 | 2006-10-17 |
| 1063444586 | Philip B Nedelman | Family Medicine | 90 Libbey Pkwy, Ste106, Weymouth, MA 02189-3129 | 2006-07-07 |
| Find all providers in WEYMOUTH | ||||
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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.