MARK WILLIAM ROBERTS (NPI# 1649234543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649234543 |
| Entity Type | Individual |
| Full Name | MARK WILLIAM ROBERTS |
| Credential | M.D. |
| Practice Address |
34509 9th Ave S Ste 208 Federal Way WA 98003-6700 |
| Practice Telephone | 2539443278 |
| Practice Fax Number | 2539444345 |
| Mailing Telephone | 2539443278 |
| Mailing Fax Number | 2539444345 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | G72120 | CA | Other Service Providers |
| Y | 208600000X | Surgery | MD00033523 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L&I | 0281816 | 01 |
| WA | WASHINGTON LICENSE | 33523 | 01 |
| CA | DEA NUMBER | BR2923301 | 01 |
| CA | CALIFORNIA STATE LICENSE | G72120 | 01 |
| WA | STATE L&I | 0281815 | 01 |
| CA | 00G721201 | 05 | |
| WA | STATE L&I | 0290078 | 01 |
| 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 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| Street Address |
34509 9TH AVE S STE 208 |
| City | FEDERAL WAY |
| State | WA |
| Zip Code | 98003-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124096649 | Theodore Koichi Inouye | Surgery | 34509 9th Ave S, Ste 208, Federal Way, WA 98003-8709 | 2006-03-10 |
| 1023558814 | Deanna Eisele | Dietitian, Registered | 34509 9th Ave S, Ste 310, Federal Way, WA 98003-6700 | 2017-02-28 |
| 1548675192 | Todd Merrill Chappell | Podiatrist | 34509 9th Ave S, Suite 306, Federal Way, WA 98003-6700 | 2014-06-23 |
| 1619393550 | Elizabeth Fujii Tobin | Physician Assistant | 34509 9th Ave S, Ste 203-b, Federal Way, WA 98003-6700 | 2014-03-17 |
| 1588910665 | Gretchen Laveda Hoffman | Dietitian, Registered | 34509 9th Ave S, Ste 310, Federal Way, WA 98003-6700 | 2012-07-26 |
| 1659638096 | Franciscan Health System | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 34509 9th Ave S, Suite 107, Federal Way, WA 98003-6700 | 2012-04-23 |
| 1639441413 | Franciscan Health System | Registered Nurse | 34509 9th Ave S, Suite 308, Federal Way, WA 98003-6700 | 2012-02-08 |
| 1891079760 | Dinah Suh | Pharmacist | 34509 9th Ave S, Suite 308, Ms# 22-08, Federal Way, WA 98003-6700 | 2011-10-10 |
| 1699056929 | Patricia Anne Wetsch-wolfrom | Registered Nurse | 34509 9th Ave S, Ste 320, Federal Way, WA 98003-6700 | 2011-08-31 |
| 1043505100 | Franciscan Medical Group | Internal Medicine | 34509 9th Ave S, Ste 304, Federal Way, WA 98003-6700 | 2011-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
| 1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
| 1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
| 1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
| 1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
| 1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
| 1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
| 1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
| Find all providers in zip 98003 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134237696 | Franciscan Medical Group | Surgery | 200 S 333rd St, Ste 150, Federal Way, WA 98003-7359 | 2006-08-26 |
| 1669401048 | Mark Roland Nyreen | Surgery | 34509 9th Ave S Ste 208, Federal Way, WA 98003-8709 | 2006-06-30 |
| 1245267327 | Center for Weight Loss Surgery Pllc | Surgery | 34509 9th Ave. South, Suite 103, Federal Way, WA 98003-8707 | 2006-06-26 |
| 1124096649 | Theodore Koichi Inouye | Surgery | 34509 9th Ave S, Ste 208, Federal Way, WA 98003-8709 | 2006-03-10 |
| 1366419103 | Richard Raymond Gould | Surgery | 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 | 2006-03-01 |
| 1265752281 | Franciscan Medical Group | Surgery | 34515 9th Ave S, Ste 204, Federal Way, WA 98003-6761 | 2010-06-02 |
| 1477791093 | Franciscan Medical Group | Surgery | 34509 9th Ave S, Ste 208, Federal Way, WA 98003-6700 | 2009-02-04 |
| 1316109705 | Michelle Lee Haslinger | Surgery | 34509 9th Ave S Ste 204, Federal Way, WA 98003-8708 | 2008-06-27 |
| 1477768364 | Bradley Demarais | Surgery | 34509 9th Ave S Ste 208, Federal Way, WA 98003-8709 | 2007-05-14 |
| 1356560056 | Franciscan Medical Group | Surgery | 34709 9th Ave S, #b-500, Federal Way, WA 98003-8722 | 2007-04-24 |
| Find all providers in FEDERAL WAY | ||||
| City | FEDERAL WAY |
| Zip Code | 98003 |
Please comment or provide details below to improve the information on MARK WILLIAM ROBERTS.
| 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.