JOHN P ROBERSON (NPI# 1285681106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285681106 |
| Entity Type | Individual |
| Full Name | JOHN P ROBERSON |
| Credential | MD |
| Practice Address |
30 Memorial Dr Pinehurst NC 28374-8707 |
| Practice Telephone | 9102954400 |
| Practice Fax Number | 9102952810 |
| Mailing Telephone | 9102954400 |
| Mailing Fax Number | 9102952810 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2011-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
9900663 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBS NC | 1215P | 01 | |
| NC | 891215P | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689878928 | John Michael Roberson | Dentist | 2801 Duke of Gloucester St Ste 103, Desoto, TX 75115-2051 | 2007-06-12 |
| 1003928219 | John Joseph Roberson | Dentist | 814 Hwy 139, Monroe, LA 71203 | 2006-09-01 |
| 1871607812 | John Boone Roberson Sr. | Dentist | 811 South 28th Avenue, Hattiesburg, MS 39402 | 2006-08-18 |
| 1154303105 | John L Roberson Jr. | Podiatrist | 805 St. Vincent's Drive, Suite 420, Birmingham, AL 35205-2704 | 2005-11-16 |
| 1669829420 | John Roberson II | Student in an Organized Health Care Education/Training Program | 625 19th Street South, Birmingham, AL 35249 | 2016-05-20 |
| Street Address |
30 MEMORIAL DR |
| City | PINEHURST |
| State | NC |
| Zip Code | 28374-8707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071101 | Lacey Floyd Moore Jr. | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2005-11-21 |
| 1801213129 | David Royal Warden Iv | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2014-03-25 |
| 1861669897 | Rodney Welling | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2008-05-09 |
| 1275707325 | Allen M Joseph | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2008-04-19 |
| 1295814895 | Michael D Massey | Specialist | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-11-03 |
| 1245323443 | Michael T Serle | Physician Assistant | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-10-02 |
| 1649286493 | Samuel Isaac Wahl | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-08-01 |
| 1790724904 | Michael H Park | Physician Assistant | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-06-05 |
| 1437196318 | First Imaging of The Carolinas LLC | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-06-01 |
| 1841247210 | Lawrence W Martin | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841855160 | Ashley Nicole Jimenez | Registered Nurse | 120 Applecross Rd. Suite #2, Suite #2, Pinehurst, NC 28374 | 2019-05-02 |
| 1063076552 | Lesley Anne Pritchard | Physician Assistant | 5 Pine Tree Road, Unit 208, Pinehurst, NC 28374 | 2019-04-30 |
| 1477003697 | Whitney Byrd Franco | Counselor | 325 Page Rd Bldg 3, Pinehurst, NC 28374 | 2016-10-12 |
| 1649678715 | Laura Davies | Counselor | 105 Bradfordf Village Court, Bradford Associates Nc LLC, Southern Pines, NC 28374 | 2014-12-05 |
| 1942611280 | Ann Marie Toebes Richards | Family Medicine | 150 Ivey Lane, Suite B, Pinehurst, NC 28374 | 2014-05-08 |
| 1912328329 | Rebekah Thomas Wood | Behavioral Analyst | 350 Diamondhead Dr S, Pinehurst, NC 28374 | 2014-01-02 |
| 1558643015 | Michael A Rohrer | Prosthetist | 95 Aviemore Drive, Pinehurst, NC 28374 | 2011-09-12 |
| 1861799199 | Quality Care Pharmacy of The Sandhills | Pharmacy | 65 Parker Lane, Pinehurst, NC 28374 | 2011-02-23 |
| 1750681185 | Robin G Cummings | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 360 Tall Timbers Drive, Pinehurst, NC 28374 | 2010-11-02 |
| 1942523402 | Laura Schramm Kuzma | Counselor | 25 Chinquapin Rd., Suite 3b, Pinehurst, NC 28374 | 2010-03-11 |
| Find all providers in zip 28374 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144492372 | Glen Alan Toomayan | Radiology | 30 Memorial Drive, Pinehurst Radiology, Pinehurst, NC 28374 | 2008-03-27 |
| 1821071101 | Lacey Floyd Moore Jr. | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2005-11-21 |
| 1801213129 | David Royal Warden Iv | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2014-03-25 |
| 1861669897 | Rodney Welling | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2008-05-09 |
| 1275707325 | Allen M Joseph | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2008-04-19 |
| 1649286493 | Samuel Isaac Wahl | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-08-01 |
| 1437196318 | First Imaging of The Carolinas LLC | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-06-01 |
| 1841247210 | Lawrence W Martin | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-05-30 |
| 1750338125 | Daniel Clark | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-05-30 |
| 1518914514 | David M Furie | Radiology | 30 Memorial Dr, Pinehurst, NC 28374-8707 | 2006-05-27 |
| Find all providers in PINEHURST | ||||
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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.