MR. DOUGLAS ROBERTS JR. (NPI# 1770048316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770048316 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS ROBERTS JR. |
| Practice Address |
734 Wilcox St Ste 202 Castle Rock CO 80104-1709 |
| Mailing Address |
5670 Lake Gulch Rd Castle Rock CO 80104-9725 |
| Practice Telephone | 7209352663 |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669891214 | Douglas Roberts | Psychologist | 1501 Arch St, Philadelphia, PA 19102-1508 | 2014-04-10 |
| 1033305537 | Douglas Roberts | Internal Medicine | 4923 Cloister Dr, Rockville, MD 20852-3363 | 2007-09-18 |
| 1922180900 | Douglas Wayne Roberts | Chiropractor | 1136 Tully Rd Ste 1, Modesto, CA 95350-4994 | 2006-10-19 |
| 1083698062 | Douglas Roberts | Internal Medicine | 500 University Ave Ste 230, Suite 230, Sacramento, CA 95825-6524 | 2005-12-02 |
| 1508869926 | Douglas E. Roberts Jr. | Internal Medicine | 900 N Heritage Dr, Bldg E, Ridgecrest, CA 93555-5536 | 2005-05-31 |
| 1427591999 | Douglas Roberts | Physical Therapist | 923 E Central Ave, La Follette, TN 37766-2768 | 2016-11-30 |
| 1205389962 | Douglas Roberts | Rehabilitation Practitioner | 3680 N Rancho Dr, Las Vegas, NV 89130-3180 | 2016-07-29 |
| 1134290794 | Douglas M Roberts | Registered Nurse | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2006-11-13 |
| 1154367597 | Douglas E Roberts | General Practice | 7182 Woodrow St Ste 200, Irmo, SC 29063-2832 | 2006-06-22 |
| 1811931066 | Douglas L Roberts | Internal Medicine | 310 Sterling Dr, Suite 100, Orchard Park, NY 14127-1569 | 2006-06-16 |
| Street Address |
734 WILCOX ST STE 202 |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679017636 | John Zivojinovic | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2016-12-10 |
| 1144832965 | Randy Reed | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2020-08-21 |
| 1043852221 | Michelle Anderson | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2019-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710538962 | Living Harmony Counseling | Counselor | 5803 Palmer Dr, Castle Rock, CO 80104-8737 | 2019-09-27 |
| 1720540115 | Michelle Elizabeth Warntjes | Counselor | 371 E Allen St Apt 34, Castle Rock, CO 80108-7658 | 2019-04-03 |
| 1831660497 | Dana H Mccray | Counselor | 202 6th St Ste 301d, Castle Rock, CO 80104-1731 | 2018-12-07 |
| 1679017636 | John Zivojinovic | Counselor | 734 Wilcox St Ste 202, Castle Rock, CO 80104-1709 | 2016-12-10 |
| 1861791303 | Tammy Gustafson | Counselor | 695 Jerry St Ste 205, Castle Rock, CO 80104-1708 | 2011-03-23 |
| 1942460472 | Renee Michelle Cawley | Counselor | 121 S Wilcox St Ste E, Castle Rock, CO 80104-1910 | 2008-06-09 |
| 1538327440 | John Emmons | Counselor | 751 Maleta Ln, Suite 201, Castle Rock, CO 80108-7606 | 2008-05-28 |
| 1275742959 | Tamara Gaye Suttle | Counselor | 6222 Lancaster Ave, Castle Rock, CO 80104-3279 | 2007-05-21 |
| 1174674287 | Sheila W Speight | Counselor | 823 S Perry St Ste 100, Castle Rock, CO 80104-1925 | 2007-01-15 |
| 1528162708 | Skye C Embrey | Counselor | 831 S Perry St, Suite 100, Castle Rock, CO 80104-1919 | 2006-09-11 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
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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.