CHARLES ROBERTS (NPI# 1366456162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366456162 |
| Entity Type | Individual |
| Full Name | CHARLES ROBERTS |
| Credential | MD |
| Practice Address |
340 Thomas More Pkwy Ste. 260 Crestview Hills KY 41017 |
| Mailing Address |
340 Thomas More Pkwy Ste. 260 Crestview Hills KY 41017-5100 |
| Practice Telephone | 8599570700 |
| Practice Fax Number | 8599570703 |
| Mailing Telephone | 8599570700 |
| Mailing Fax Number | 8599570703 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2018-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | D69123 | MD | Allopathic & Osteopathic Physicians |
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
D69123 | MD | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
48818 | KY | Allopathic & Osteopathic Physicians |
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
48818 | KY | Allopathic & Osteopathic Physicians |
| N | 207LH0002X |
Anesthesiology Specialization: Hospice and Palliative Medicine |
D69123 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834278 | Charles Eugene Roberts Iv | Peer Specialist | 547 E Columbus Ave, Bellefontaine, OH 43311-2480 | 2020-06-03 |
| 1083064836 | Charles Roberts II | Pharmacist | 597 Donald C. Moore Drive, Lebanon, VA 24266 | 2016-06-13 |
| 1982987087 | Charles Alexander Roberts IIi | Chiropractor | 4670 Nw 183rd St, Miami Gardens, FL 33055 | 2011-09-25 |
| 1609065887 | Charles T. Roberts | Counselor | 1009 Falls Pkwy Ste A, Marble Falls, TX 78654-4630 | 2007-10-23 |
| 1386850683 | Charles E. Roberts | Dentist | 5101 E Farness Dr, Suite C, Tucson, AZ 85712-6116 | 2007-05-15 |
| 1982821286 | Charles Alfred Roberts | Chiropractor | 2835 Us Highway 35 N, Richmond, IN 47374-9706 | 2007-04-19 |
| 1144320656 | Charles David Roberts | Chiropractor | 2497 S Roane St, Suite 260, Harriman, TN 37748-8670 | 2006-09-24 |
| 1164417846 | Charles Ray Roberts | Optometrist | 1181 E Fry Blvd, Sierra Vista, AZ 85635-2669 | 2005-09-19 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1134763543 | Charles M Roberts | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390-3316 | 2019-10-30 |
| Street Address |
340 THOMAS MORE PKWY STE. 260 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417952722 | Kendall E. Hansen | Anesthesiology | 340 Thomas More Pkwy, Ste 260, Crestview Hills, KY 41017-5100 | 2005-06-15 |
| 1790290278 | Russell Hall | Nurse Anesthetist, Certified Registered | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2017-12-06 |
| 1104365220 | Jeanne Ellen Powell | Nurse Practitioner | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2017-02-22 |
| 1164788261 | Summit Medical Group | Nurse Practitioner | 340 Thomas More Pkwy, Su. 160a, Crestview Hills, KY 41017-5100 | 2012-04-03 |
| 1710270327 | Ryan Matthew Wilson | Plastic Surgery | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2011-05-16 |
| 1942532825 | Summit Medical Group | Clinic/Center | 340 Thomas More Pkwy, Suite 160 B, Crestview Hills, KY 41017-5100 | 2010-02-03 |
| 1134392335 | Nicole Marie Hausfeld | Physical Therapist | 340 Thomas More Pkwy, Suite 220, Crestview Hills, KY 41017-5100 | 2008-04-08 |
| 1346468030 | The Plastic Surgery Group | Specialist | 340 Thomas More Pkwy, Suite 100, Crestview Hills, KY 41017-5100 | 2007-04-20 |
| 1639220247 | Spectrabrace, Ltd | Durable Medical Equipment & Medical Supplies | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2007-01-12 |
| 1407958176 | Matthew B Ebacher | Nurse Practitioner | 340 Thomas More Pkwy, Crestview Hills, KY 41017-5100 | 2006-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346766441 | Integrated Pain Management of Kentucky LLC | Pain Medicine | 210 Thomas More Pkwy Ste B, Crestview Hills, KY 41017-3429 | 2017-08-21 |
| 1588093694 | Neuroscience Associates of Northern Kentucky,psc | Pain Medicine | 2845 Chancellor Dr, Crestview Hills, KY 41017-3418 | 2013-11-08 |
| 1801113071 | Lester S Duplechan Md Pllc | Pain Medicine | 350 Thomas More Pkwy, Ste 190, Crestview Hills, KY 41017-5465 | 2010-04-28 |
| 1083888325 | Michael Jason Walls | Pain Medicine | 320 Thomas More Pkwy, Suite 202, Crestview Hills, KY 41017-3410 | 2008-04-17 |
| 1144293275 | Philip L Zaacks | Pain Medicine | 350 Thomas More Pkwy, Suite 160, Crestview Hills, KY 41017-5465 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528554474 | Hillcrest Pain & Spine Pllc | Pain Medicine | 853 Lane Allen Rd Ste 217, Lexington, KY 40504 | 2018-07-03 |
| 1578981718 | Restore Rehabilitation | Pain Medicine | 6400 Dutchmans Pkwy Ste 80, Louisville, KY 40205-3340 | 2014-04-04 |
| 1508201898 | Center for Pain Management | Pain Medicine | 440 B High St, Bowling Green, KY 42101 | 2013-05-01 |
| 1689994154 | Cumberland Brain and Spine, Pllc | Pain Medicine | 1641 Scottsville Rd, Bowling Green, KY 42104-3244 | 2010-06-08 |
| 1235358243 | Gary L Reasor, Md P.s.c | Pain Medicine | 4121 Dutchmans Ln Ste 606, Louisville, KY 40207-4725 | 2007-04-25 |
| 1407995517 | Cassari Pain Treatment Center Inc | Pain Medicine | 4010 Dupont Circle #430, Louisville, KY 40207 | 2007-02-05 |
| 1922186378 | Tri-state Advanced Pain Management Pllc | Pain Medicine | 3332 Villa Pt Ste 104, Owensboro, KY 42303-7818 | 2006-11-02 |
| 1164518080 | David P Bosomworth II | Pain Medicine | 279 Kings Daughters Dr Ste 100, Frankfort, KY 40601 | 2006-10-05 |
| 1639263338 | Bluegrass Pain Management, Psc | Pain Medicine | 1760 Nicholasville Road, Suite 503, Lexington, KY 40503 | 2006-10-03 |
| 1265525653 | Bill Walker Haney | Pain Medicine | 6400 Dutchmans Pkwy Ste 60, Louisville, KY 40205-3341 | 2006-09-30 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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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.