MR. MARK T ROBERTS (NPI# 1699338640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699338640 |
| Entity Type | Individual |
| Full Name | MR. MARK T ROBERTS |
| Credential | M.D. |
| Practice Address |
Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon NH 03756 |
| Practice Telephone | 6036505869 |
| Mailing Telephone | 6036505869 |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2020-04-09 |
| NPI Deactivation Date | 12/04/2019 |
| NPI Reactivation Date | 2020-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| 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 |
DARTMOUTH HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE |
| City | LEBANON |
| State | NH |
| Zip Code | 03756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679592067 | Martha J Allen | Physician Assistant | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-07-18 |
| 1083795157 | Kelly H Cain | Anesthesiology | Dartmouth Hitchcock Medical Center, 1 Medical Center Dr, Lebanon, NH 03765 | 2006-10-17 |
| 1609969112 | Sarah Norene Pletcher | Surgery | Dartmouth Hitchcock Medical Center, Lebanon, NH 03756 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790277796 | Sindri Aron Viktorsson | Student in an Organized Health Care Education/Training Program | Dartmouth- Hitchcock Medical Center, One Medical Center Dr, Lebanon, NH 03756 | 2018-06-05 |
| 1376078501 | Robert G.p. Murray | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Pediatric Residency Program, Children's Hospital At Dartmouth-hitchcock, Dartmouth H, Lebanon, NH 03756 | 2017-04-25 |
| 1063946242 | Keira Kilmartin | Student in an Organized Health Care Education/Training Program | One Medical Centre Drive, Pediatric Residency Program, Lebanon, NH 03756 | 2017-04-14 |
| 1194120691 | Clearchoicemd | Clinic/Center | 422 Miracle Mile Rd, Lebanon, NH 03756 | 2014-10-27 |
| 1629380159 | Rattanaporn Mahatanan | Internal Medicine | One Meical Center Drive, Dhmc Infectious Disease Department, Lebanon, NH 03756 | 2010-07-13 |
| 1780803833 | Kenneth W Travis | Anesthesiology | Darmouth Hitchock Med Ct, One Medical Ctre Drive, Lebanon, NH 03756 | 2007-04-25 |
| 1295950657 | Jillian R Ozmore | Genetic Counselor, MS | Dartmouth Hitchcock, One Medical Center Drive, Lebanon, NH 03756 | 2007-04-13 |
| 1609961119 | Athos John Rassias | Anesthesiology | Critical Care Medicine 1 Medical Center Drive, Dhmc, Lebanon, NH 03756 | 2006-10-03 |
| 1194765768 | Joseph Livin Perras II | Internal Medicine | Dartmouth-hitchcock Clinic, 1 Medical Center Dr, Lebanon, NH 03756 | 2006-06-08 |
| 1023007127 | David Howard Dumont | Family Medicine | 1 Medical Dr, Lebanon, NH 03756 | 2005-10-20 |
| Find all providers in zip 03756 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810254 | Sarah Brice West | Student in an Organized Health Care Education/Training Program | 34376 Bond Rd, Lebanon, OR 97355-9480 | 2020-08-03 |
| 1659990927 | Allison Marie Lane | Student in an Organized Health Care Education/Training Program | 921 Lebanon Hwy, Lebanon, TN 37087-9231 | 2020-04-15 |
| 1710516182 | Patricia Hoangphuong Nguyen | Student in an Organized Health Care Education/Training Program | Western University of Health Sciences Comp-northwest, 200 Mullins Drive, Lebanon, OR 97355 | 2020-04-07 |
| 1821559386 | Anna Olds | Student in an Organized Health Care Education/Training Program | 97 Dreahook Rd, Lebanon, NJ 08833-5014 | 2019-03-27 |
| 1508324310 | Michael Joseph Hynds | Student in an Organized Health Care Education/Training Program | 200 Mullins Dr Unit H2063, Lebanon, OR 97355-3983 | 2019-03-11 |
| 1215495296 | Stephen Klippenstein | Student in an Organized Health Care Education/Training Program | 53 E Sherman St Apt 2, Lebanon, OR 97355-3254 | 2019-03-07 |
| 1184182404 | Kathleen Y Jarman | Student in an Organized Health Care Education/Training Program | 178 E Jadon Dr, Lebanon, OR 97355-1696 | 2019-03-05 |
| 1548728025 | Conor Hegewald | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt E219, Lebanon, OR 97355-2883 | 2019-03-04 |
| 1003374588 | Nicole Kosmider | Student in an Organized Health Care Education/Training Program | 300 Boulder Falls Dr Apt I334, Lebanon, OR 97355-2884 | 2019-03-04 |
| 1457815698 | Cassie Kennedy | Student in an Organized Health Care Education/Training Program | 200 Peace Ave, Lebanon, TN 37087-8626 | 2019-01-22 |
| Find all providers in LEBANON | ||||
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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.