JACOB WESLEY ROBERTS (NPI# 1750861779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750861779 |
| Entity Type | Individual |
| Full Name | JACOB WESLEY ROBERTS |
| Credential | PA-C |
| Practice Address |
200 Banning St Dover DE 19904-3485 |
| Mailing Address |
640 S State St Mail Code 3055 Dover DE 19901-3530 |
| Practice Telephone | 3027341414 |
| Mailing Telephone | 3024801688 |
| Mailing Fax Number | 3024809807 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C5-0001235 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1851938526 | Jacob Stuart Roberts | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-12-02 |
| 1487149191 | Jacob Roberts | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-25 |
| 1811411218 | Jacob Scott Roberts | Registered Nurse | 12 Ingalls Court, Methoen, MA 01844 | 2017-07-28 |
| 1952696270 | Jacob S Roberts | Nurse Practitioner | 230 N 1680 E, Suite H1, Saint George, UT 84790-2579 | 2011-06-15 |
| 1790989945 | Jacob Benjamin Roberts | Physical Therapist | 1542 Elk Creek Dr, Suite B, Idaho Falls, ID 83404-8322 | 2007-06-12 |
| 1831218817 | Jacob Edward Roberts | Surgery | 14555 Levan Rd, Marion Professional Building Suite 311, Livonia, MI 48154-5083 | 2007-03-28 |
| 1265474472 | Jacob Aaron Roberts | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-06-12 |
| Street Address |
200 BANNING ST |
| City | DOVER |
| State | DE |
| Zip Code | 19904-3485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364190 | Donald D. Suh | Urology | 200 Banning St, Suite 250, Dover, DE 19904 | 2005-05-27 |
| 1003307737 | Gabriella Lynn Malacari | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-05-29 |
| 1972010924 | First State Infectious Diseases, LLC | Internal Medicine | 200 Banning St, Suite 230, Dover, DE 19904-3487 | 2017-12-29 |
| 1700231867 | Amita Jain | Internal Medicine | 200 Banning St, Dover, DE 19904-3485 | 2016-04-26 |
| 1619338126 | Seiff Center for Aesthetic & Reconstructive Surgery Pa | Clinic/Center | 200 Banning St, Suite 370, Dover, DE 19904-3485 | 2016-03-10 |
| 1689033631 | Meghan Elizabeth Miller | Nurse Practitioner | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2016-02-18 |
| 1477950319 | Christina Sykes | Advanced Practice Midwife | 200 Banning St, Suite 320, Dover, DE 19904-3485 | 2014-11-20 |
| 1538573837 | The Vein Center At Eden Hill LLC | Surgery | 200 Banning St, Suite 300, Dover, DE 19904-3485 | 2014-06-13 |
| 1053724815 | Advanced Sleep Disorders Center LLC | Clinical Medical Laboratory | 200 Banning St, Suite 210, Dover, DE 19904-3487 | 2014-06-09 |
| 1649694027 | Ums Lithotripsy Services of Kent County, LLC | Clinic/Center | 200 Banning St, Dover, DE 19904-3485 | 2014-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534318 | Stanford Community Development Corporation, Inc | Community Health Worker | 111 South West Street, Suite 5, Dover, DE 19904 | 2020-10-02 |
| 1770145120 | Cara May O'reilly | Nurse Practitioner | 540 S. Governors Ave, Ste 101a, Dover, DE 19904 | 2019-07-07 |
| 1639631716 | Victoria Louise Sisson | Physical Therapy Assistant | 301 South Banning Street, Dover, DE 19904 | 2019-04-05 |
| 1336603091 | Ashley Santana | Counselor | 32 West Lookerman Street, Suite #103, Dover, DE 19904 | 2019-01-28 |
| 1679059869 | Vicdania Home Services | Technician | 1019 South Govenors Avenue, Dover, DE 19904 | 2018-07-11 |
| 1295221372 | Pam Squared At Dover LLC | Rehabilitation Hospital | 1240 Mckee Road, Dover, DE 19904 | 2018-07-02 |
| 1871000869 | Ronald Allen Beard | Counselor | 44 Carver Road, Dover, DE 19904 | 2017-12-29 |
| 1508376518 | First State Orthopaedics, Pa | Orthopaedic Surgery | 285 Beiser Blvd, Ste 201, Dover, DE 19904 | 2017-10-04 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1811352826 | West Dover Dental, LLC | Dentist | 2 Greentree Drive, Dover, DE 19904 | 2015-12-17 |
| Find all providers in zip 19904 | ||||
| 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 |
|---|---|---|---|---|
| 1922643139 | Kayla Sharese Beauplan | Physician Assistant | 644 S Queen St Ste 106, Dover, DE 19904-3543 | 2019-11-12 |
| 1598313793 | Neil Mast | Physician Assistant | 515 Union Ave Ste 157, Dover, OH 44622-3005 | 2019-08-30 |
| 1699339317 | Diana Kay Fizette | Physician Assistant | 13014 Binnion Dr, Dover, FL 33527-3661 | 2019-04-29 |
| 1235697749 | Kurstyn T Derr | Physician Assistant | 540 South Govenors Ave, Suite 100 Mailcode 3041, Dover, DE 19901 | 2019-03-05 |
| 1508332149 | Kerri Taylor | Physician Assistant | 1125 Forrest Ave Ste 203, Dover, DE 19904-3483 | 2018-10-22 |
| 1841716909 | Tara Kay | Physician Assistant | 1113 S State St Ste 100, Dover, DE 19901-4112 | 2017-08-20 |
| 1356861918 | Brielle Camille Greco | Physician Assistant | 655 S Bay Rd Ste 1, Dover, DE 19901-4615 | 2017-06-26 |
| 1710407671 | Alicia Kelley Wilber | Physician Assistant | 750 Central Ave Ste N, Dover, NH 03820-3434 | 2017-06-22 |
| 1194194035 | Shawn Blackburn | Physician Assistant | 200 Banning St Ste 340, Dover, DE 19904-3490 | 2015-09-22 |
| 1851760094 | Sydney Scott | Physician Assistant | 200 Banning Street, Suite 340, Eden Hill Medical Center, Dover, DE 19904 | 2015-09-17 |
| Find all providers in DOVER | ||||
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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.