DR. OWEN ROBERTS (NPI# 1629179858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629179858 |
| Entity Type | Individual |
| Full Name | DR. OWEN ROBERTS |
| Credential | M.D. |
| Practice Address |
2400 Lee Hwy N Pulaski VA 24301-2326 |
| Mailing Address |
2400 Lee Highway Pulaski VA 24301 |
| Practice Telephone | 5404404561 |
| Practice Fax Number | 5404404703 |
| Mailing Telephone | 5404404561 |
| Mailing Fax Number | 5404404703 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101238446 | VA | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
0101238446 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1629179858 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194212100 | Owen Roberts | Social Worker | 1 Lawrence St, Glens Falls, NY 12801-3617 | 2018-04-16 |
| 1902956683 | Owen Denny Roberts | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-01-12 |
| Street Address |
2400 LEE HWY N |
| City | PULASKI |
| State | VA |
| Zip Code | 24301-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738839 | Alan Franklin Knull | Radiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2005-05-27 |
| 1588262976 | Molly Katalin Gardner | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-10-16 |
| 1659904068 | Kaitlyn Jean Rogers | Occupational Therapist | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2020-02-14 |
| 1477018893 | Pulaski Community Hospital, Inc. | Psychiatric Unit | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2019-02-11 |
| 1225519291 | Brandon Warren Johnson | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-08-27 |
| 1871088526 | Kingsford Physician Services, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-26 |
| 1336631480 | Kingsford Emergency Group, LLC | Physician Assistant | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2018-06-05 |
| 1659824332 | Michele Lee Keesling | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2016-07-28 |
| 1558714253 | Melanie Hudgins | Nurse Practitioner | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2016-07-18 |
| 1316334931 | David A Asher | Radiology | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2015-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932672532 | Pulaski County Public Schools | Speech-Language Pathologist | 202 North Washington Avenue, Pulaski, VA 24301 | 2019-01-07 |
| 1912490269 | Pulaski County Public Schools | Speech-Language Pathologist | 202 N. Washington Avenue, Pulaski, VA 24301 | 2018-06-12 |
| 1376966689 | Charles Martin | Registered Nurse | 8400 Lee Highway, Pulaski, VA 24301 | 2014-01-23 |
| 1366738817 | Rolf Alfred Koehler | Internal Medicine | 2524 Saddle Ridge Circle, Pulaski, VA 24301 | 2011-06-23 |
| 1558654335 | Kimberly Rena White | Pharmacist | 901 Memorial Drive, Walgreens, Pulaski, VA 24301 | 2011-05-26 |
| 1366677791 | Ehikioya Osamudiamen Osemobor | Internal Medicine | 2460 Lee Highway, Pulaski, VA 24301 | 2009-05-29 |
| 1154452555 | Ellis Home Oxygen and Medical Equipment | Durable Medical Equipment & Medical Supplies | 2460 Lee Hwy, Suite 7, Pulaski, VA 24301 | 2007-03-08 |
| 1437233087 | George Frederick Brame II | Nurse Anesthetist, Certified Registered | 2400 Lee Highway, Pulaski Community Hospital, Pulaski, VA 24301 | 2006-10-24 |
| 1801981337 | Windy Saunders Hundley | Nurse Practitioner | 101 1st Street Nw, Pulaski, VA 24301 | 2006-10-03 |
| 1881700250 | Cynthia Martin Southern | Dentist | 62 E Main Street, Pulaski, VA 24301 | 2006-08-21 |
| Find all providers in zip 24301 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740234590 | Tennessee Oncology Pllc | Internal Medicine | 215 Cedar Ln, Pulaski, TN 38478 | 2006-05-19 |
| 1609034362 | Raymond Ibarra Cruz | Internal Medicine | 2400 Lee Hwy N, Pulaski, VA 24301-2326 | 2008-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093339764 | Loudoun Medical Group . P.c | Internal Medicine | 19500 Sandridge Way Ste 400, Leesburg, VA 20176-3691 | 2020-05-29 |
| 1316566839 | Stephen Smith Kennedy | Internal Medicine | 1108 Doe Mountain Rd, Goodview, VA 24095-2496 | 2020-04-14 |
| 1740640804 | Virginia Hematology Oncology Physicians Inc | Internal Medicine | 2556 Fox Hound Ct, Herndon, VA 20171-2996 | 2016-03-02 |
| 1326423260 | John J Welch | Internal Medicine | 2040 Antananarivo Pl, Dulles, VA 20189-2039 | 2015-07-21 |
| 1144637786 | Toshihisa Satta | Internal Medicine | 1250 E Marshall St # 980509, Richmond, VA 23298-5051 | 2014-07-15 |
| 1366860496 | Krista Isaac | Internal Medicine | 1215 Lee St - Box Number 800716, Charlottesville, VA 22908-0001 | 2014-04-05 |
| 1760800858 | Sonia Esparza Hepburn | Internal Medicine | 500 Sentara Cir Ste 203, Williamsburg, VA 23188-5727 | 2014-04-04 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1528326329 | Rahul Singh | Internal Medicine | 8101 Hinson Farm Rd Ste 211, Alexandria, VA 22306 | 2012-04-30 |
| 1821363219 | Oliver Alabaster | Internal Medicine | 4318 Adrienne Dr, Alexandria, VA 22309-2803 | 2012-03-19 |
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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.