MR. WOODROW ANTHONY ROEBACK III (NPI# 1356681241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356681241 |
| Entity Type | Individual |
| Full Name | MR. WOODROW ANTHONY ROEBACK III |
| Credential | CPC, CRC |
| Practice Address |
3428 Ernest St North Las Vegas NV 89032-7724 |
| Practice Telephone | 7029179309 |
| Practice Fax Number | 7022557171 |
| Mailing Telephone | 7029179309 |
| Mailing Fax Number | 7022557171 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2013-05-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CI0077 | NV | Behavioral Health & Social Service Providers |
| N | 302F00000X | Exclusive Provider Organization | NV20131237531 | NV | Managed Care Organizations |
| Street Address |
3428 ERNEST ST |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-7724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194159004 | Mind Body and Spirit Counseling Services | Counselor | 3428 Ernest St, North Las Vegas, NV 89032-7724 | 2013-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261071 | Cassandra L Cotton | Counselor | 522 Seneca Ridge Ave, North Las Vegas, NV 89084-1314 | 2020-06-29 |
| 1396253258 | Michelle Laray Jackson | Counselor | 3765 Carisbrook Dr, North Las Vegas, NV 89081-6631 | 2018-01-12 |
| 1366978140 | Ebony Sherman | Counselor | 245 E Centennial Pkwy Apt 2128, North Las Vegas, NV 89084-1373 | 2017-05-11 |
| 1851765416 | Brandy Mccullouch | Counselor | 2525 Donna St Apt A, North Las Vegas, NV 89030-5571 | 2015-11-19 |
| 1114320165 | Ida Davis | Counselor | 570 West Cheyenne Avenue, North Las Vegas, NV 89030 | 2014-10-06 |
| 1992120349 | Marikay Mack-finnie | Counselor | 4709 White Stork Dr, North Las Vegas, NV 89084-2642 | 2014-02-21 |
| 1033497151 | Latonya Reashawn Gaston | Counselor | 1001 Country Grove Ave, North Las Vegas, NV 89030-4707 | 2011-07-22 |
| 1205164290 | Guy Calderon Cooper | Counselor | 8228 Chimney Bluffs St, North Las Vegas, NV 89085-4412 | 2009-12-02 |
| 1124145594 | Renee Arbogast | Counselor | 4438 Coastal Bluff Ave, North Las Vegas, NV 89031-0453 | 2007-03-23 |
| 1922539154 | Curtis O'neal Green | Counselor | 2007 Rain Storm Ct, North Las Vegas, NV 89032-4857 | 2017-03-21 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on MR. WOODROW ANTHONY ROEBACK III.
| 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.