DR. RYAN LOUIS ROBERTS (NPI# 1720240286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720240286 |
| Entity Type | Individual |
| Full Name | DR. RYAN LOUIS ROBERTS |
| Credential | M.D. |
| Practice Address |
9040a Fitzsimmons Ave Jblm-tacoma WA 98431-1100 |
| Practice Telephone | 2539681760 |
| Mailing Telephone | 2539681760 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2013-09-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 0101247018 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366874802 | Ryan Roberts | Psychologist | 15340 Upper Ellen Rd, Los Gatos, CA 95033-8283 | 2013-08-07 |
| 1154954089 | Ryan Roberts | Case Manager/Care Coordinator | 500 Barfield Dr, Hastings, MI 49058-9018 | 2020-02-19 |
| 1407384746 | Ryan Z Roberts | Dentist | 342 Cool Springs Blvd, Franklin, TN 37067-7213 | 2017-05-31 |
| 1710436977 | Ryan Roberts | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-09-29 |
| 1700231909 | Ryan Roberts | Emergency Medicine | 1329 Sw 16th St, Suite 5270, Gainesville, FL 32610-0186 | 2016-04-26 |
| 1871852079 | Ryan E Roberts | Counselor | 202 Pomfret St, Putnam, CT 06260-1833 | 2012-05-08 |
| 1861716755 | Ryan David Roberts | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2010-03-21 |
| 1205097946 | Ryan Scott Roberts | Student in an Organized Health Care Education/Training Program | 3302 Gaston Ave, Department of Pediatric Dentistry, Dallas, TX 75246 | 2008-06-24 |
| 1093982910 | Ryan J Roberts | Emergency Medicine | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2008-05-09 |
| 1558414359 | Ryan Roberts | Dentist | 2121 S Mccall Rd, Englewood, FL 34224-4512 | 2007-01-18 |
| Street Address |
9040A FITZSIMMONS AVE |
| City | JBLM-TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063971703 | Source Northwest Integrative Medicine | General Practice | 7206 267th St Nw Ste 102, Stanwood, WA 98292-6269 | 2019-03-12 |
| 1255896601 | Emily Christine Buck | General Practice | 940 Fitzsimmons Dr, Tacoma, WA 98431-0001 | 2019-02-08 |
| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
| Find all providers with the same taxonomy | ||||
| City | JBLM-TACOMA |
| Zip Code | 98431 |
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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.