MICHELE L ROBERTS (NPI# 1376517722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376517722 |
| Entity Type | Individual |
| Full Name | MICHELE L ROBERTS |
| Other Name | MICHELLE SMITH |
| Credential | PA-C |
| Practice Address |
21193 Malta Rd Malta IL 60150-9600 |
| Mailing Address |
13539 Il Route 76 Poplar Grove IL 61065-8832 |
| Practice Telephone | 8157523253 |
| Practice Fax Number | 8157523277 |
| Mailing Telephone | 8157650147 |
| Mailing Fax Number | 8157650427 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2017-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 008500878 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548743891 | Michele Roberts | Nurse Practitioner | 188 Hospital Dr Ste 100, Fairhope, AL 36532-2038 | 2018-09-12 |
| 1578962478 | Michele Roberts | Medical Genetics | 44 Howard St, Paxton, MA 01612-1569 | 2014-08-15 |
| 1154422905 | Michele Lynn Roberts | Social Worker | 2348 Whitney Avenue, Hamden, CT 06578 | 2006-09-26 |
| 1467451708 | Michele Roberts | Nurse Practitioner | 6209 Mid Rivers Mall Dr, Suite 317, Saint Peters, MO 63304-1102 | 2005-07-19 |
| 1548762610 | Michele Anne Roberts | Behavior Technician | 1003 Hugh Wallis Rd S Ste B2, Lafayette, LA 70508-2528 | 2018-03-05 |
| 1326403783 | Michele Renee Roberts | Social Worker | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2015-12-29 |
| 1205211505 | Michele Roberts | Case Manager/Care Coordinator | 2530 S Commerce St Bldg C, Ardmore, OK 73401-5519 | 2015-07-28 |
| 1104155993 | Michele Roberts | Nurse Practitioner | 1508 Tombras Ave, Chattanooga, TN 37412-2720 | 2009-12-08 |
| 1932329059 | Michele Renee Roberts | Occupational Therapist | 106 Memorial Pkwy, Utica, NY 13501-4818 | 2007-04-30 |
| 1518183276 | Michele Lillian Roberts | Physical Therapist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2007-04-18 |
| Street Address |
21193 MALTA RD |
| City | MALTA |
| State | IL |
| Zip Code | 60150-9600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760729925 | Center for Family Health - Malta | Clinic/Center | 21193 Malta Rd, Malta, IL 60150-9600 | 2013-01-08 |
| 1457654295 | Ben Gordon Center | Clinic/Center | 21193 Malta Rd, Bldg. A - U154, Malta, IL 60150-9600 | 2010-12-17 |
| 1225218365 | Northern Illinois University | Clinic/Center | 21193 Malta Rd, Malta, IL 60150-9600 | 2007-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063791218 | Malta Family Dental LLC | Dental Hygienist | 304 Van Buren St, Malta, IL 60150-9512 | 2011-08-05 |
| 1275068660 | Marissa Nicole Maeder | Specialist/Technologist, Other | 205 S 6th St, Malta, IL 60150-9703 | 2017-04-24 |
| 1922351386 | Malta Fire Protection District | Ambulance | 308 Jefferson St, Malta, IL 60150-9738 | 2012-10-23 |
| 1558509208 | Jill Reiland | Occupational Therapist | 510 N 3rd St, Malta, IL 60150-9771 | 2009-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507328 | Cassandra Coppola | Physical Therapy Assistant | 2202 Concord St, Malta, NY 12020-5265 | 2020-10-27 |
| 1215553839 | Eloise Porte Parker | Psychologist | 92 Lakeshore Dr, Malta, NY 12020-6240 | 2020-06-19 |
| 1225650849 | Mark Nistico | Registered Nurse | 23 Mayapple Way, Malta, NY 12020-4390 | 2020-05-18 |
| 1831710979 | Elizabeth Jean Simpson | Physical Therapy Assistant | 801s 3rd St., Malta, MT 59538 | 2020-04-29 |
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1114561859 | Rad Bintareef | Ophthalmology | 658 Malta Ave Ste 101, Malta, NY 12020-4105 | 2019-11-06 |
| 1073077020 | Kaleb Wilkins | Registered Nurse | 859 South Main St., Malta, OH 43758 | 2019-01-24 |
| 1336613199 | Tyson Copenhaver Carney | Specialist/Technologist | 631 S 6th Ave E, Malta, MT 59538-8893 | 2019-01-15 |
| 1700356300 | Melissa Lynn Jones | Registered Nurse | 545 N Riverview Rd, Malta, OH 43758-9301 | 2018-11-27 |
| 1922583186 | Tiffany Marie Mcgrew | Licensed Practical Nurse | 3664 Finley Lane, Malta, OH 43758 | 2018-10-03 |
| Find all providers in MALTA | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427552934 | Sara Giacchetta | Physician Assistant | 6 Medical Park Dr Ste 208, Malta, NY 12020-5053 | 2018-03-20 |
| 1336388669 | Edna M Streit | Physician Assistant | 311 S 8th Ave E, Malta, MT 59538-8978 | 2009-02-10 |
| 1194177394 | Katie Ellen Dunne | Physician Assistant | 6 Medical Park Dr, Suite 208, Malta, NY 12020-5051 | 2016-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010924 | Mckenzie Youngblood | Physician Assistant | 28653 Wren Ln, Jerseyville, IL 62052-6501 | 2020-10-13 |
| 1548877400 | Shawn Milhauser | Physician Assistant | 1014 N Mill St, Pontiac, IL 61764-1332 | 2020-09-25 |
| 1982210654 | Brittany Michelle Weber | Physician Assistant | 525 E Congress Pkwy Ste 200, Crystal Lake, IL 60014-6271 | 2020-09-18 |
| 1003421603 | Logan M Barkley | Physician Assistant | 2560 24th St Ste 201, Rock Island, IL 61201-5390 | 2020-09-10 |
| 1336753342 | Navneet Kaur Bamrah | Physician Assistant | 11316 S Highland Dr, Plainfield, IL 60585-1581 | 2020-09-07 |
| 1306450424 | Annie Mannancheril | Physician Assistant | 9114 Waukegan Rd, Morton Grove, IL 60053-2135 | 2020-09-04 |
| 1508470709 | Bryan Ying Wong | Physician Assistant | 3420 S Morgan St Apt 2e, Chicago, IL 60608-6904 | 2020-09-04 |
| 1386256402 | Emma Schmidt | Physician Assistant | 20 Haverton Ct, Streamwood, IL 60107-1682 | 2020-08-19 |
| 1063024388 | Alyson Dyck | Physician Assistant | 2540 Health Services, Ssb Student Services Building, Normal, IL 61790-2540 | 2020-08-18 |
| 1649882192 | Anna Marie Phillips | Physician Assistant | 5337 Main St, Skokie, IL 60077-2029 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
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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.