MARK ROBERTS (NPI# 1750339867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339867 |
| Entity Type | Individual |
| Full Name | MARK ROBERTS |
| Credential | PA |
| Practice Address |
1301 Richmond Road Staunton VA 24401 |
| Mailing Address |
Po Box 2500 Staunton VA 24402-2500 |
| Practice Telephone | 5403328200 |
| Practice Fax Number | 5403328197 |
| Mailing Telephone | 5403328200 |
| Mailing Fax Number | 5403328197 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0110000105 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
1301 RICHMOND ROAD |
| City | STAUNTON |
| State | VA |
| Zip Code | 24401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346205069 | Commonwealth of Virginia Western State Hospital | Psychiatric Hospital | 1301 Richmond Road, Staunton, VA 24401-9146 | 2006-04-18 |
| 1205915196 | Commonwealth of Virginia Western State Hospital | Hospitalist | 1301 Richmond Road, Staunton, VA 24401 | 2006-11-03 |
| 1114036902 | Commonwealth of Virginia Western State Hospital | Pharmacy | 1301 Richmond Road, Staunton, VA 24401 | 2006-08-29 |
| 1902826043 | Carrington Harrison | Orthopaedic Surgery | 1301 Richmond Road, Staunton, VA 24401 | 2006-07-20 |
| 1588695373 | Bernice Marcopulos | Psychologist | 1301 Richmond Road, Staunton, VA 24401 | 2006-07-06 |
| 1912959784 | Caroline Bill | Psychiatry & Neurology | 1301 Richmond Road, Staunton, VA 24401 | 2006-05-17 |
| 1811949522 | William Fox | Psychiatry & Neurology | 1301 Richmond Road, Staunton, VA 24401 | 2006-05-17 |
| 1770531824 | Carol Shannon | Psychiatry & Neurology | 1301 Richmond Road, Staunton, VA 24401 | 2006-05-04 |
| 1730137928 | James Lee | Psychiatry & Neurology | 1301 Richmond Road, Staunton, WA 24401 | 2006-05-04 |
| 1063460186 | Alan Richardson | Internal Medicine | 1301 Richmond Road, Staunton, VA 24401 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003319 | Carlo Mirabelli | Pharmacist | Wal-mart, 1028c Richmond Ave., Staunton, VA 24401 | 2020-11-03 |
| 1437649092 | Nathaniel Byron Ellis | Speech-Language Pathologist | 600 Greenville Ave, Staunton, VA 24401 | 2018-05-18 |
| 1942728985 | Staunton Treatment Center, LLC | Counselor | 15 Green Hills Drive, Staunton, VA 24401 | 2017-08-30 |
| 1144756313 | Annie L Metz | Counselor | 85 Sangers Lane, Staunton, VA 24401 | 2017-05-10 |
| 1598217804 | Bh Brightview Baldwin Park Opco, LLC | Alzheimer Center (Dementia Center) | 21 Woodlee Road, Staunton, VA 24401 | 2016-11-03 |
| 1255887022 | Courtney White | Pharmacist | 850 Statler Blvd, Statler Square, Staunton, VA 24401 | 2016-08-31 |
| 1881042596 | John H. Lee | Occupational Therapy Assistant | 1900 Hillsmere, Staunton, VA 24401 | 2016-06-03 |
| 1538531496 | Family Preservation Services, Inc | Community/Behavioral Health | 189 Hornet Road, Staunton, VA 24401 | 2015-10-30 |
| 1053714741 | Kimberly Olsen | Speech-Language Pathologist | 1 Hillsmere Lane, Staunton, VA 24401 | 2014-10-08 |
| 1790197754 | Brittany Swann Wilmoth | Physical Therapist | 1600 N. Coalter Street, Suite 302, Staunton, VA 24401 | 2014-05-27 |
| Find all providers in zip 24401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932692993 | Stephanie S Bruton | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2018-06-13 |
| 1902325913 | Munsey Medical Clinic Inc | Physician Assistant | 20 Bobbys Way Ste 105, Staunton, VA 24401-4461 | 2017-09-12 |
| 1578985545 | David Paulk | Physician Assistant | 318 Prospect St, Staunton, VA 24401-3605 | 2014-01-10 |
| 1821338039 | Leigh Taylor Mann | Physician Assistant | 40 Lambert Street, Suite #522, Staunton, VA 24401 | 2013-02-25 |
| 1467082743 | Joseph Vincent Jordan | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2020-01-25 |
| 1730733429 | Lauren Marie Fackler | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2019-07-30 |
| 1528624616 | Meghan E Carty | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2019-05-14 |
| 1821583329 | John Joyce Carter Iv | Physician Assistant | 25 Myers Corner Dr, Staunton, VA 24401-6342 | 2018-06-27 |
| 1528587391 | Barry L Munsey | Physician Assistant | 20 Bobbys Way Ste 105, Staunton, VA 24401-4461 | 2017-09-13 |
| 1326597030 | Brent Cochran | Physician Assistant | 1209 Richmond Ave, Staunton, VA 24401 | 2016-09-23 |
| Find all providers in STAUNTON | ||||
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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.