DR. MARK A. ROBERTS (NPI# 1689767691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689767691 |
| Entity Type | Individual |
| Full Name | DR. MARK A. ROBERTS |
| Credential | MD |
| Practice Address |
1240 81st Street South St. Petersburg FL 33707 |
| Mailing Address |
65 66th St N St Petersburg FL 33710-8407 |
| Practice Telephone | 7273457434 |
| Practice Fax Number | 7273457434 |
| Mailing Telephone | 7273439100 |
| Mailing Fax Number | 7273439102 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME83611 | FL | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
1240 81ST STREET SOUTH |
| City | ST. PETERSBURG |
| State | FL |
| Zip Code | 33707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013475466 | Baycare Urgent Care, LLC | Pharmacy | 900 Carillon Parkway Ste 106, St. Petersburg, FL 33707 | 2019-03-05 |
| 1245754449 | S Dunkelberger Do LLC | Family Medicine | 6801 Gulfport Blvd S., Suite 6, Sout Pasadena, FL 33707 | 2017-07-29 |
| 1497196828 | Montego Mckinnon Sr. | Pharmacy Technician | 1501 Pasadena Shores Dr, St. Petersburg, FL 33707 | 2013-07-15 |
| 1558551580 | Linda K Barchie | Massage Therapist | 7230 Central Avenue, St Petersburg, FL 33707 | 2007-07-26 |
| 1487790770 | Margaret Helen Young | Dentist | 509 Pasadena Avenue South, St Petersburg, FL 33707 | 2007-01-30 |
| 1063567279 | Jack M Hafer | Dentist | 2525 Pasadena Ave S, Ste E, Pasadena, FL 33707 | 2007-01-25 |
| 1740331305 | Suncoast O2 Systems Inc. | Durable Medical Equipment & Medical Supplies | 5213 1st Avenue S, St. Petersburg, FL 33707 | 2007-01-12 |
| 1902987902 | Demekisa Sidamo Davis | Acupuncturist | 5301 Gulfport Blvd, Gulfport, FL 33707 | 2006-10-17 |
| 1457443004 | Darla Marie Keyes | Physical Therapist | 2825 Seabreeze Dr, Gulfport, FL 33707 | 2006-09-29 |
| 1013008713 | Richard A. Leverone | Radiology | 5136 Central Ave, St Petersburg, FL 33707 | 2006-09-27 |
| Find all providers in zip 33707 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093290611 | Valbona Berberi | Family Medicine | 701 6th Ave S, St. Petersburg, FL 33755-2206 | 2018-09-28 |
| 1235353269 | James G Blanco | Family Medicine | 6499 38th Avenue North Suite G1, Pinellas Cancer Center, St. Petersburg, FL 33710-1658 | 2007-04-12 |
| 1629163787 | Dr. Suusan B. Betzer | Family Medicine | 461 7th Avenue South, St. Petersburg, FL 33701-4818 | 2006-10-04 |
| 1639276108 | John A. Gross | Family Medicine | 116 1st Street North, St. Petersburg, FL 33701 | 2006-09-19 |
| 1770691404 | Arthur L. Clemente, Md, Pa | Family Medicine | 1201 5th Avenue N, Ste 409, St. Petersburg, FL 33705 | 2006-08-25 |
| 1841306651 | Ernest L Frierson | Family Medicine | 8950 Dr. Martin Luther King Jr. Street North, #180, St. Petersburg, FL 33702-3001 | 2006-08-22 |
| 1639164825 | Kathleen C Barry | Family Medicine | 400 6th Street S., St. Petersburg, FL 33701-4435 | 2005-09-14 |
| 1376158246 | Hilesca T Hidalgo | Family Medicine | 1839 Central Ave., St. Petersburg, FL 33713-8900 | 2020-09-09 |
| 1063899615 | Camila Avila | Family Medicine | 603 7th Street South, Suite 400, St. Petersburg, FL 33701 | 2015-05-04 |
| 1669879375 | Susan I Rashid | Family Medicine | 1111 7th Ave North, Ste. 107, St. Petersburg, FL 33705 | 2014-11-24 |
| Find all providers in ST. PETERSBURG | ||||
| City | ST. PETERSBURG |
| Zip Code | 33707 |
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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.