MARK D ROBERTS


Address: 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834
Phone: 2546663627

MARK D ROBERTS (NPI# 1497711105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497711105
Entity Type Individual
Full Name MARK D ROBERTS
Credential P.A.-C
Practice Address 1201 Hewitt Dr Ste 203
Waco
TX 76712-8834
Practice Telephone 2546663627
Practice Fax Number 2547326125
Mailing Telephone 2546663627
Mailing Fax Number 2547326125
Enumeration Date 2006-04-21
Last Update Date 2012-07-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA02376 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX BCBS 8Y9746 01
TX 191296601 05
TX 191296602 05
TX MEDICARE 8L10914 01
TX 191296603 05
TX TX ID 261742781 01
TX BLUE CROSS BLUE SHIELD OF TEXAS 8Y2805 01

Other Providers MARK ROBERTS

NPI Name Taxonomy Address Enumeration
1730677881 Mark A Roberts Preventive Medicine 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 2018-04-24
1164943551 Mark Roberts Physical Therapist 3710 168th St Ne Ste A102, Arlington, WA 98223-8462 2017-07-06
1588094825 Mark Roberts Licensed Practical Nurse 209 Carters Grove Rd, Centerville, OH 45459-2509 2013-11-23
1982899696 Mark Charles Roberts Dentist 6025 Warner Ave, Huntington Beach, CA 92649 2007-09-06
1225194343 Mark Roberts Marriage & Family Therapist 405 E 73rd St, New York, NY 10021-3865 2007-01-01
1255402046 Mark W. Roberts Chiropractor 345 E 500 S, Bountiful, UT 84010-4924 2006-11-13
1689767691 Mark A. Roberts Family Medicine 1240 81st Street South, St. Petersburg, FL 33707 2006-10-02
1922021435 Mark Austin Roberts Dentist 210 Crestway St, Suite 106, Athens, TX 75751-2135 2006-07-25
1275565442 Mark A Roberts Family Medicine 106 Edwina Street, Evergreen, AL 36401 2006-07-07
1710968052 Mark Allen Roberts Chiropractor 1404 W Frank Ave, Lufkin, TX 75904-3306 2005-11-11

Office Location

Street Address 1201 HEWITT DR STE 203
City WACO
State TX
Zip Code 76712-8834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700913183 Philip R Roberts Emergency Medicine 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 2007-02-27
1609886829 Jason Stephen Caldwell Physician Assistant 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922634294 Waco Ophthalmology, Pllc Ophthalmology 602 W Highway 6, Waco, TX 76712 2020-03-19
1326692872 Oceans Behavioral Hospital of Waco LLC Psychiatric Hospital 5931 Crosslake Parkway, Waco, TX 76712 2019-08-01
1831759620 Jessica Ngoc Vien Optometrist 1000 Hwy 6, Ste 210, Waco, TX 76712 2019-06-14
1780150888 Chelsea Cannon Occupational Therapist 330 W State Hwy 6, Waco, TX 76712 2018-10-17
1669955399 Elizabeth Ann Barnhill Speech-Language Pathologist 15003 Riatta Rd, Woodway, TX 76712 2018-09-09
1447731617 Melanie A Melton Physical Therapist 300 West Highway 6, Waco, TX 76712 2018-08-27
1396226403 Gala Kaye Czajkoski Occupational Therapy Assistant 300 West Hightway 6, Waco, TX 76712 2018-08-27
1619457454 Monica Anderson Physical Therapy Assistant 300 W Hwy 6, Waco, TX 76712 2018-08-21
1295238368 Waco Sn Opco LLC Skilled Nursing Facility 7501 Bagby, Waco, TX 76712 2018-03-14
1558872952 C. Guy Fps, Pllc Otolaryngology 1129 Aberdeen Rd, Waco, TX 76712 2017-10-12
Find all providers in zip 76712

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245871052 Elizabeth Leverson Physician Assistant 3912 Austin Ave, Waco, TX 76710-7127 2019-10-02
1063763225 Jamie Lynn Laird Physician Assistant 5400 Crosslake Pkwy Ste 300, Waco, TX 76712 2012-09-27
1215116652 Michael Paul Fichter Jr. Physician Assistant 7125 New Sanger Rd Ste A, Waco, TX 76712-4054 2007-11-02
1710090170 Anthony B Balchunas Physician Assistant 601 W State Hwy 6, Ste 105, Waco, TX 76710-5575 2006-08-17
1902814544 Fara Lynn Crawford Physician Assistant 6600 Fish Pond Rd Ste 101, Waco, TX 76710-2582 2006-08-03
1316966286 Donald Eugene Hicks Physician Assistant 4205 Franklin Ave, Waco, TX 76710 2006-07-19
1073577953 Richard James Hecker Physician Assistant 1226 Washington Ave, Waco, TX 76701-1127 2006-04-17
1669448718 Patricia Ann Goaley Physician Assistant 1445 Stillwater Rd, Waco, TX 76708-7612 2006-02-28
1992771927 Ashley Glover Baker Physician Assistant 50 Hillcrest Medical Blvd Ste 206, Waco, TX 76712-8954 2006-02-28
1710514302 Bettie Degracia Physician Assistant 405 Londonderry Dr Ste 311, Waco, TX 76712-7922 2020-03-24
Find all providers in WACO

Competitor

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City WACO
Zip Code 76712

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Dataset Information

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.

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