DR. JON A ROBERTS (NPI# 1366445835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366445835 |
| Entity Type | Individual |
| Full Name | DR. JON A ROBERTS |
| Credential | MD |
| Practice Address |
7695 Poplar Pike Suite 101 Memphis TN 38138-5947 |
| Practice Telephone | 9016852696 |
| Practice Fax Number | 9016829747 |
| Mailing Telephone | 9016852696 |
| Mailing Fax Number | 9016829747 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
21672 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
13448 | MS | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
21672 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3061916 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043362510 | Jon Douglas Roberts | Chiropractor | 239a Church St, Alexander City, AL 35010-2515 | 2007-01-17 |
| 1962584896 | Jon W. Roberts | Family Medicine | Highway 99 & O'banion Street, Birch Tree, MO 65438 | 2006-10-19 |
| 1104293802 | Jon Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2015-08-28 |
| 1861819385 | Jon Roberts | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2014-03-21 |
| 1568696235 | Jon Brian Roberts | Surgery | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2009-05-11 |
| 1114933272 | Jon Elliot Roberts | Pediatrics | 3533 S Alameda St, Sloan Bldg, Corpus Christi, TX 78411-1721 | 2006-07-31 |
| 1265420178 | Jon D Roberts | Emergency Medicine | 1600 E Broadway, Columbia, MO 65201-5844 | 2005-10-13 |
| Street Address |
7695 POPLAR PIKE SUITE 101 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38138-5947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417182007 | Dale Eugene Hansen IIi | Radiology | 7695 Poplar Pike, Suite 101, Memphis, TN 38138-5947 | 2009-05-26 |
| 1083848329 | Wesley A Angel | Radiology | 7695 Poplar Pike, Suite 101, Memphis, TN 38138-5947 | 2009-05-13 |
| 1922209360 | Van Alexander Montgomery | Radiology | 7695 Poplar Pike, Suite 101, Memphis, TN 38138-5947 | 2007-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382281 | Bluff Medical Group | Nurse Practitioner | 1779 Kirby Parkway, Suite 1-212, Germantown, TN 38138 | 2020-10-07 |
| 1689293797 | Diana Bryn Manning | Dietitian, Registered | 7705 Poplar Ave., Medical Office B, Suite 150, Germantown, TN 38138 | 2020-04-09 |
| 1386102796 | Moscow Group LLC | Pharmacy | 2013 Exeter Rd, Germantown, TN 38138 | 2019-03-05 |
| 1952811010 | Select | Counselor | 9045 Forest Centre Dr Ste 102, Germantown, TN 38138 | 2017-10-03 |
| 1033638994 | 901 Physical Therapy, Pllc | Physical Therapist | 2495 Regents Walk, Germantown, TN 38138 | 2017-09-12 |
| 1124552401 | Elite Dental Germantown Plc | Dentist | 9064 Corporate Gradens Drive, Germantown, TN 38138 | 2017-04-13 |
| 1740728880 | Christian C Haynes | Nurse Anesthetist, Certified Registered | 1900 Exeter Rd., Suite 210, Germantown, TN 38138 | 2017-02-09 |
| 1740644004 | Kimberly Brooke Scheidegger | Counselor | 9045 Forest Centre Way, Heartlife Professional Soul Care, Germantown, TN 38138 | 2016-04-12 |
| 1427411644 | Jimmy Tam Tran | Internal Medicine | 7550 Wolf River Blvd., Ste. 102, Germantown, TN 38138 | 2016-04-04 |
| 1952761876 | Jane Chin Wynn Yeoh | Orthopaedic Surgery | 1400 South Germantown Road, Germantown, TN 38138 | 2016-03-04 |
| Find all providers in zip 38138 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277042 | Via Institutes Pllc | Radiology | 8886 Classic Dr, Memphis, TN 38125-8839 | 2020-05-18 |
| 1144485418 | Vijaykumar Agrawal | Radiology | 865 Jefferson Avenue Department of Radiology, F150 Chandler, Memphis, TN 38163-0001 | 2008-07-25 |
| 1851865794 | Zeni Interventional Pllc | Radiology | 6126 Poplar Ave, Memphis, TN 38119-4710 | 2019-01-14 |
| 1972882207 | Vinod Govindaraj Maller | Radiology | 848 Adams Ave, Memphis, TN 38103-2816 | 2011-08-04 |
| 1285839043 | Vascular Access Center of Memphis LLC | Radiology | 1750 Madison Ave, Memphis, TN 38104-6492 | 2007-06-20 |
| 1851359475 | James Scott Williams | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-03 |
| 1558329169 | Salil S Joshi | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-05-03 |
| 1922065259 | Robert E Gold | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-28 |
| 1336106681 | Jorge A Salazar | Radiology | 1910 Nonconnah Blvd, Suite 120, Memphis, TN 38132-2113 | 2006-04-28 |
| 1396737268 | Interventional Associates of Memphis, PC | Radiology | 66 N Pauline St, Suite 206, Memphis, TN 38105-5105 | 2005-08-17 |
| Find all providers in MEMPHIS | ||||
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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.