MARK ROBERTS (NPI# 1588094825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588094825 |
| Entity Type | Individual |
| Full Name | MARK ROBERTS |
| Practice Address |
209 Carters Grove Rd Centerville OH 45459-2509 |
| Practice Telephone | 5135813985 |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2013-11-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN151753-M-IV | OH | Nursing Service Providers |
| 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 |
| 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 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1710968052 | Mark Allen Roberts | Chiropractor | 1404 W Frank Ave, Lufkin, TX 75904-3306 | 2005-11-11 |
| Street Address |
209 CARTERS GROVE RD |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473083 | Queenta M Bwang | Licensed Practical Nurse | 843 Revere Village Ct, Centerville, OH 45458-3445 | 2020-09-28 |
| 1528621059 | Lisa Jean Griffin | Licensed Practical Nurse | 8393 Abbeywood Ct, Centerville, OH 45458-1827 | 2019-04-19 |
| 1528471604 | David Sterling | Licensed Practical Nurse | 353 Kristina Ct, Centerville, OH 45458-4127 | 2014-06-06 |
| 1871843631 | Julie Kaye Wilson Ellis | Licensed Practical Nurse | 1508 Haven Hill Dr, Centerville, OH 45459-1563 | 2012-09-19 |
| 1194007302 | Emily Elizabeth Miller | Licensed Practical Nurse | 519 Crawley Run, Apt 208, Centerville, OH 45458-6397 | 2011-09-13 |
| 1346573433 | Joanne Ellen Fountaine | Licensed Practical Nurse | 8414 Washington Village Dr, Centerville, OH 45458-1845 | 2009-09-08 |
| 1568699312 | Lucinda G Fosburg | Licensed Practical Nurse | 33445 Athens Rd, Centerville, PA 16404-2704 | 2009-06-19 |
| 1699914911 | Ronda Kay Shaffner | Licensed Practical Nurse | 1668 Summit Creek Dr, Centerville, OH 45458-1136 | 2009-02-10 |
| 1881857696 | Samantha J Adams | Licensed Practical Nurse | 81 Rhoads Center Dr, Centerville, OH 45458-3859 | 2008-07-02 |
| 1003907866 | Pamela Ann Smith | Licensed Practical Nurse | 59 Pheasant Way, Centerville, MA 02632-3221 | 2006-09-27 |
| Find all providers in CENTERVILLE | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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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.