CARL RAY ROBERTS (NPI# 1770582207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770582207 |
| Entity Type | Individual |
| Full Name | CARL RAY ROBERTS |
| Credential | M.D. |
| Practice Address |
1856 E Innovation Park Dr Oro Valley AZ 85755-1963 |
| Practice Telephone | 5208257111 |
| Practice Fax Number | 5208181253 |
| Mailing Telephone | 5208257111 |
| Mailing Fax Number | 5208181253 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2015-05-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 25852 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 400648003 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144493081 | Carl Roberts | Massage Therapist | 32895 Coastal Hwy, Bethany Beach, DE 19930-3782 | 2008-04-11 |
| 1467571968 | Carl Sylvester Roberts Jr. | Family Medicine | 101e Main St, Iberia, MO 65486 | 2007-03-28 |
| Street Address |
1856 E INNOVATION PARK DR |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85755-1963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013224 | Christa R. Whittard | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-06-15 |
| 1518444009 | Marana Health Center, Inc | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2018-07-26 |
| 1790982312 | Ana R Tanase | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2007-06-28 |
| 1154440444 | Oro Valley Pediatrics, P.C. | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2007-03-28 |
| 1710086624 | John Peter Seward | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2006-09-21 |
| 1679587646 | Diana Lynn Honebrink | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2006-07-28 |
| 1629077177 | Derinda Ann Radjeski | Pediatrics | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-07-18 |
| 1578562005 | Pamela Glasinovic Villar | General Practice | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782097 | Thoroughbred Medical | Physical Medicine & Rehabilitation | 1521 E. Tangerine Road, Suite 201, Oro Valley, AZ 85755 | 2019-04-17 |
| 1245618545 | Arizona State Radiology, PC | Radiology | 12112 Rancho Vistoso Blvd 150-221, Tucson, AZ 85755 | 2015-05-07 |
| 1316258361 | Desert Sky Spine & Sports Medicine PC | Physical Medicine & Rehabilitation | 1521 E. Tangerine Rd, Suite 201, Oro Valley, AZ 85755 | 2010-06-24 |
| 1033442967 | Terri Farmer PC | Nurse Practitioner | 12450 N. Rancho Vistoso Blvd, Suite 100, Oro Valley, AZ 85755 | 2009-09-10 |
| 1902036338 | David Lee Chaffee Jr. | Dentist | 1880 E Tangerine Rd, Suite 190, Oro Valley, AZ 85755 | 2009-07-20 |
| 1043459738 | Tangerine Dental Group, LLP | Dentist | 1880 East Tangerine Road, Suite 190, Oro Valley, AZ 85755 | 2009-02-19 |
| 1982819736 | Kirsten Pennartz | Physical Therapist | 12460 N Rancho Vistoso Blvd, 140, Oro Valley, AZ 85755 | 2007-05-14 |
| 1346453339 | Michael William Lang | Dentist | 1171 E. Rancho Vistoso Blvd, Suite 157, Oro Valley, AZ 85755 | 2007-05-07 |
| 1871629758 | Phyllis Huttenhoff Menard | Marriage & Family Therapist | 2274 E Montrose Cyn Dr, Tucson, AZ 85755 | 2007-02-26 |
| 1639236581 | Athlon Physical Therapy, LLC | Physical Therapist | 12460 N. Rancho Vistoso Blvd., Suite 140, Oro Valley, AZ 85755 | 2007-01-02 |
| Find all providers in zip 85755 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093170656 | John Joseph Stephens | General Practice | 2595 W Limewood Dr, Oro Valley, AZ 85755-9701 | 2015-12-28 |
| 1578562005 | Pamela Glasinovic Villar | General Practice | 1856 E Innovation Park Dr, Oro Valley, AZ 85755-1963 | 2005-07-18 |
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|---|---|---|---|---|
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| 1225645625 | Olympus Health Management LLC | General Practice | 3813 E Oasis Cir, Mesa, AZ 85215-9796 | 2020-09-29 |
| 1952917205 | Physical Medicine of Mesa LLC | General Practice | 3614 E Southern Ave Ste 105, Mesa, AZ 85206-2510 | 2020-09-22 |
| 1346867488 | Infinity Pain Relief, LLC | General Practice | 8715 W Union Hills Dr Ste 109, Peoria, AZ 85382-3031 | 2020-07-05 |
| 1417570664 | Compass Medical Center Heber, Pllc | General Practice | 2931 Highway 260, Overgaard, AZ 85933 | 2020-05-22 |
| 1700408689 | Cottonwood Physician Group | General Practice | 1760 E Villa Dr Ste E&f, Cottonwood, AZ 86326-4679 | 2020-05-13 |
| 1457973406 | Pima County Physician Group | General Practice | 5155 E Farness Dr Ste 111b, Tucson, AZ 85712-2158 | 2020-05-13 |
| 1124649637 | Peoria Physician Group | General Practice | 13760 N 93rd Ave Ste 105, Peoria, AZ 85381-4260 | 2020-05-06 |
| 1366080475 | Madison Taylor Phillips | General Practice | 15741 Bering St, Ehrenberg, AZ 85334-0010 | 2019-12-19 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85755 |
Please comment or provide details below to improve the information on CARL RAY ROBERTS.
| 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.