GAVIN J. ROBERTS, MD (NPI# 1447369665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447369665 |
| Entity Type | Organization |
| Organization Name | GAVIN J. ROBERTS, MD |
| Practice Address |
201 Pennsylvania Pkwy Indianapolis IN 46280-2301 |
| Mailing Address |
Po Box 68952 Indianapolis IN 46268-0952 |
| Practice Telephone | 3178171333 |
| Practice Fax Number | 3178171331 |
| Mailing Telephone | 3178026310 |
| Mailing Fax Number | 3178700499 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | GAVIN J ROBERTS (OWNER) |
| Authorized Official Telephone | 3178171333 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
201 PENNSYLVANIA PKWY |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46280-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960186 | Joel C Boaz | Neurological Surgery | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46260-1393 | 2005-05-27 |
| 1699127134 | Kenna Brown | Occupational Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-07-08 |
| 1487012670 | Mitzi Marie Stephens | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2016-02-03 |
| 1467825315 | Melissa Schnepp | Specialist/Technologist | 201 Pennsylvania Pkwy, Indianapolis, IN 46280-2301 | 2015-11-01 |
| 1043601263 | Robert Klingshirn | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2015-02-10 |
| 1740678838 | Jeremy Herrmann | Physical Therapist | 201 Pennsylvania Pkwy, Suite 100, Indianapolis, IN 46280-2301 | 2014-12-26 |
| 1417359845 | April L Priest | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280-1393 | 2014-09-17 |
| 1386059905 | Justin Stano | Internal Medicine | 201 Pennsylvania Pkwy, Indianapolis, IN 46280 | 2014-06-23 |
| 1194138677 | Emilia M Kareem | Physical Therapist | 201 Pennsylvania Pkwy, Ste 100, Indianapolis, IN 46280 | 2014-06-03 |
| 1356768402 | Sara Simmons | Specialist/Technologist | 201 Pennsylvania Pkwy, #100, Indianapolis, IN 46280-2301 | 2014-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273112 | Melissa Ramos Bauzo, LLC | Marriage & Family Therapist | 3021 E 98th Street, 110, Indianapolis, IN 46280 | 2020-10-26 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1184872434 | Scott Alan Hartman | Physical Medicine & Rehabilitation | 3077 East 96th Street, 265, Indianapolis, IN 46280 | 2008-08-28 |
| 1528197381 | Indiana Developmental Training Center LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 11075 N Pennsylvania St, Indianapolis, IN 46280 | 2007-03-05 |
| 1780711515 | Dr Lynn Burford P C | Optometrist | 10485 N Pennsylvania, Indianapolis, IN 46280 | 2007-02-28 |
| 1992875868 | Lynn Burford | Optometrist | 10485 N. Pennsylvania, Indianapolis, IN 46280 | 2006-11-08 |
| 1790797694 | Fiona Jane Kress | Psychologist | 3021 E. 98th Street, Suite 180, Kress Psychological Services, LLC, Indianapolis, IN 46280 | 2006-08-12 |
| 1780178384 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 201 Pennsylvania Pkwy Ste 200, Indianapolis, IN 46280 | 2018-06-18 |
| 1154709830 | Justin P Hawk | Physician Assistant | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2015-05-13 |
| 1295154110 | Sydney Harman | Anesthesiology | 201 Pennsylvania Pkwy Ste 100, Indianapolis, IN 46280 | 2014-04-08 |
| Find all providers in zip 46280 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860947 | Timecertain, PC | Ophthalmology | 3530 S Keystone Ave, Indianapolis, IN 46227-3611 | 2020-04-23 |
| 1316566797 | Visionary Eye Specialists LLC | Ophthalmology | 9002 N Meridian St Ste 112, Indianapolis, IN 46260-5349 | 2020-04-15 |
| 1356703821 | Anjulie Gang | Ophthalmology | 9002 N Meridian St Ste 100, Indianapolis, IN 46260-5354 | 2016-03-24 |
| 1215302567 | Chad R. Kauffman, Do, LLC | Ophthalmology | 7615 Dean Rd, Indianapolis, IN 46240-3635 | 2015-12-10 |
| 1609240613 | Benjamin C Campbell | Ophthalmology | 201 Pennsylvania Pkwy Ste 225, Indianapolis, IN 46280 | 2015-11-15 |
| 1467871194 | Mimi Merrillyn Chung | Ophthalmology | 1400 N. Ritter, #281 Community East, Community Eye Care of Indiana, Inc., Indianapolis, IN 46219 | 2014-04-09 |
| 1760756407 | George J Quigley | Ophthalmology | 7810 Providence Cir, Indianapolis, IN 46250-2267 | 2012-02-27 |
| 1962773572 | James Joseph Mccallum | Ophthalmology | 1225 Alderly Rd, Indianapolis, IN 46260-1622 | 2012-01-13 |
| 1003106824 | Frank N. Hrisomalos | Ophthalmology | 10300 N Illinois St Ste 1070, Indianapolis, IN 46290-1167 | 2011-04-13 |
| 1104065606 | Marissa Malen | Ophthalmology | 702 Rotary Cir # 115b, Indianapolis, IN 46202-5133 | 2009-02-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46280 |
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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.