MARK A ROBERTS (NPI# 1730677881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730677881 |
Entity Type | Individual |
Full Name | MARK A ROBERTS |
Credential | MD, PHD |
Practice Address |
10552 N Watts Springs Park Rd Edgerton WI 53534-8947 |
Mailing Address |
Po Box 111 Edgerton WI 53534-0111 |
Practice Telephone | 3129619391 |
Mailing Telephone | 3129619391 |
Enumeration Date | 2018-04-24 |
Last Update Date | 2018-04-24 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
16402 | OK | Allopathic & Osteopathic Physicians |
Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
31165 | WI | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1710968052 | Mark Allen Roberts | Chiropractor | 1404 W Frank Ave, Lufkin, TX 75904-3306 | 2005-11-11 |
Street Address |
10552 N WATTS SPRINGS PARK RD |
City | EDGERTON |
State | WI |
Zip Code | 53534-8947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922244144 | Matthew Mark Houfe | Chiropractor | 75 West Fulton St, Edgerton, WI 53534 | 2008-12-17 |
1184812612 | Sport & Spine Clinic of Fort Atkinson Limited Partnership | Clinic/Center | 119 Henry Street, Edgerton, WI 53534 | 2007-10-10 |
1134310451 | Ravi Murali | General Practice | 11028 N Hillside Rd, Edgerton, WI 53534 | 2007-08-05 |
1447219845 | William Jack Rein | Physical Therapist | 119 Henry St, Edgerton, WI 53534 | 2006-03-23 |
1780700708 | Janna Lynn Hack | Social Worker | 302 S. Main St., Edgerton, WI 53534 | 2007-03-21 |
1841301181 | Thomas H Reitz Dds Sc | Dentist | 1007 N Main St, Edgerton, WI 53534 | 2006-08-31 |
1093729584 | Michael James Long | Optometrist | 1110 N Main St, Edgerton, WI 53534 | 2006-07-28 |
1588777585 | Sherry Catacutan | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2006-08-16 |
1457821159 | Brett Podlinsek | Physical Therapy Assistant | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-11-26 |
1619455466 | Rachel E Snow | Physical Therapist | 313 Stoughton Rd, Edgerton, WI 53534-1132 | 2018-08-03 |
Find all providers in zip 53534 |
Taxonomy Code | 2083X0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Occupational Medicine |
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154947737 | Agnesian Healthcare Inc | Preventive Medicine | 250 Camelot Dr, Fond Du Lac, WI 54935-8029 | 2020-06-19 |
1588914667 | Chris Boyson Chiropractic | Preventive Medicine | 2000 S Memorial Dr, Front, Appleton, WI 54915-1284 | 2012-09-14 |
1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
1689853681 | Magdalen Stepek | Preventive Medicine | 14555 W National Ave Ste 195, New Berlin, WI 53151-4484 | 2007-10-26 |
1083830335 | Gregory Kaftan | Preventive Medicine | 5555 30th Ave, Kenosha, WI 53144-2871 | 2007-04-17 |
1881754992 | James Paul Martin | Preventive Medicine | 520 Handeyside Lane, Suite 3, Fort Atkinson, WI 53558 | 2006-12-11 |
1821168600 | Robbin Elizabeth Papendick | Preventive Medicine | 18945 Danbury Ct, Brookfield, WI 53045-8163 | 2006-11-08 |
1881701282 | Nancy Berkas Petro | Preventive Medicine | 4111 W Mitchell St Ste 300, Milwaukee, WI 53215-1748 | 2006-08-23 |
1760433510 | William Greaves | Preventive Medicine | 8851 N Bayside Dr, Milwaukee, WI 53217-1910 | 2006-05-15 |
1942201967 | Eric W Newgent | Preventive Medicine | 191 Memorial Dr, Suite 300, Berlin, WI 54923-1241 | 2005-08-02 |
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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.