JANIS A ROBERTS (NPI# 1740289412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740289412 |
| Entity Type | Individual |
| Full Name | JANIS A ROBERTS |
| Credential | DO |
| Practice Address |
4160 Little York Rd Ste. 20 Dayton OH 45414-5800 |
| Mailing Address |
1 Prestige Pl Suite 550 Miamisburg OH 45342-3794 |
| Practice Telephone | 9374549527 |
| Practice Fax Number | 9374549532 |
| Mailing Telephone | 9377522305 |
| Mailing Fax Number | 9375227513 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2015-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
34006027 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000009263 | 01 |
| OH | 0982594 | 05 |
| Street Address |
4160 LITTLE YORK RD STE. 20 |
| City | DAYTON |
| State | OH |
| Zip Code | 45414-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598764391 | Cardiology Specialists of Dayton Inc. | Internal Medicine | 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 | 2005-07-14 |
| 1538532825 | Amy Birkemeier | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-11-09 |
| 1154701837 | Zachary Baum | Registered Nurse | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-06-08 |
| 1578942728 | Rachel Lloyd | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2015-05-20 |
| 1508267279 | Lauren Rode | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-09-11 |
| 1194149955 | Kathleen Walker | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2014-02-13 |
| 1821338336 | Jcc, LLC | Clinic/Center | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2013-02-20 |
| 1053661926 | Stephanie Jae Buehler | Occupational Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-09-18 |
| 1104197318 | Holly Ann Wolters | Physician Assistant | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2012-01-19 |
| 1598047664 | Brigitte Nicole Eric | Physical Therapist | 4160 Little York Rd, Suite 10, Dayton, OH 45414-5800 | 2011-09-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578047916 | Amanda Adkins | Counselor | 4977 Northcutt Pl, Dayton, OH 45414 | 2018-09-21 |
| 1477062180 | Andria Shoebridge | Case Manager/Care Coordinator | 7695 Poe Ave., Dayton, OH 45414 | 2017-09-26 |
| 1164826871 | Joana's | Custodial Care Facility | 323 Timberlake Drive, Dayton, OH 45414 | 2014-10-09 |
| 1376956839 | Shanata Rankins | Home Health Aide | 3252 Ridge Ave, Dayton, OH 45414 | 2014-06-03 |
| 1689086845 | Michelle Laree Cargle-adams | Licensed Practical Nurse | 6217 Miller Lane, Vandalia, OH 45414 | 2014-05-22 |
| 1962847236 | Tessa Skeens | Home Health | 1914 Palisades Dr, Dayton, OH 45414 | 2013-05-01 |
| 1053661397 | Jeffrey Michael Pope | Pharmacist | 3700 North Dixie Highway, Dayton, OH 45414 | 2012-09-13 |
| 1174871784 | Elizabeth Long | Counselor | 3821 Little York Rd., Dayton, OH 45414 | 2012-08-29 |
| 1265709885 | Eddie Dudley | Pharmacist | 5651 Dixie Ave, Dayton, OH 45414 | 2011-11-28 |
| 1568774743 | Martin Nicholas Kanetsky | Dentist | 6800 N. Dixie Dr., Dayton, OH 45414 | 2010-07-05 |
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| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| 1306815808 | Ceferino J. Cata | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2687 | 2006-03-16 |
| 1073513404 | Stephen P Young | Internal Medicine | 425 W Grand Ave, Ste. 1003, Dayton, OH 45405-4775 | 2005-07-28 |
| 1871592345 | Bal Krishna Srivastava | Internal Medicine | 5538 Philadelphia Dr Ste B, Dayton, OH 45415-3061 | 2005-07-18 |
| 1598764391 | Cardiology Specialists of Dayton Inc. | Internal Medicine | 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 | 2005-07-14 |
| 1801891213 | Mohammad Anwarul Kabir | Internal Medicine | 7111 N Main St, Suite 50, Dayton, OH 45415-2565 | 2005-06-14 |
| 1760484943 | Hema Pandrangi | Internal Medicine | 122 Wyoming St, Dayton, OH 45409-2731 | 2005-06-01 |
| 1033111232 | Sudhakar Maraboyina | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2005-06-01 |
| 1881696060 | Sameh N Khouzam | Internal Medicine | 4160 Little York Rd Ste 20, Dayton, OH 45414 | 2005-06-01 |
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
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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.