DR. DONNA M ROBERTS (NPI# 1780784298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780784298 |
| Entity Type | Individual |
| Full Name | DR. DONNA M ROBERTS |
| Other Name | DONNA M ITALIANO |
| Credential | MD |
| Practice Address |
960 E Walnut Lawn Suite 201 Springfield MO 65807 |
| Practice Telephone | 4172694450 |
| Practice Fax Number | 4172694470 |
| Mailing Telephone | 4172694450 |
| Mailing Fax Number | 4172694470 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2015-12-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 101221 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 207957622 | 05 | |
| BLUE CROSS OF MO | 15488 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720686025 | Donna Jo Roberts | Technician | 74 Second St, Iaeger, WV 24844 | 2020-10-09 |
| 1851534580 | Donna Roberts | Licensed Practical Nurse | 330 Harrison Dr, Centerport, NY 11721-1214 | 2009-04-10 |
| 1366610214 | Donna Roberts | Massage Therapist | 7040 Lahring Rd, Gaines, MI 48436-9730 | 2008-02-13 |
| 1649325374 | Donna Roberts | Dental Assistant | 369 Gun Club Rd Unit 39, Woodland, WA 98674-8224 | 2007-01-24 |
| 1255348710 | Donna J Roberts | Family Medicine | 1401 Georgian Park Ste 200, Peachtree City, GA 30269-6974 | 2006-08-01 |
| 1194216911 | Donna Marie Roberts | Nurse Practitioner | 1017 W 7th St, Wray, CO 80758-1420 | 2018-05-29 |
| 1619479011 | Donna Roberts | Case Manager/Care Coordinator | 1071 Port Malabar Blvd Ne Ste 106, Palm Bay, FL 32905-5161 | 2018-03-02 |
| 1821465824 | Donna Lynn Roberts | Nurse Practitioner | 108 6th Ave, Kinder, LA 70648-3187 | 2015-08-25 |
| 1134267958 | Donna Lu Roberts | Pharmacist | 722 Main St, Ackley, IA 50601-1538 | 2007-02-02 |
| 1275670325 | Donna A Roberts | Occupational Therapist | 207 Sunburst Ln, Boone, NC 28607-6438 | 2007-01-30 |
| Street Address |
960 E WALNUT LAWN SUITE 201 |
| City | SPRINGFIELD |
| State | MO |
| Zip Code | 65807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023726 | Linda R. Macgorman | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-06-20 |
| 1851753826 | Alina Cummins | Physician Assistant | 960 E Walnut Lawn, Springfield, MO 69580 | 2016-03-28 |
| 1275896326 | Kelley Ray Jenkins | Nurse Practitioner | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2012-06-22 |
| 1124347752 | Belinda Kesterson | Physician Assistant | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2010-05-21 |
| 1629204003 | Nadir Khir | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2009-05-31 |
| 1609066950 | Jacqueline L Cook | Nurse Practitioner | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2007-08-01 |
| 1538383781 | Hussam H Alhawari | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2007-04-12 |
| 1396825303 | Hilari M Henderson | Physician Assistant | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2006-10-16 |
| 1225054109 | James Theodor Bonucchi | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2006-07-14 |
| 1831198993 | Jonben D Svoboda | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
| 1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
| 1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
| 1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
| 1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
| 1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
| 1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
| 1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
| 1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| Find all providers in zip 65807 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
| 1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
| 1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
| 1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
| 1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
| 1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
| 1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
| 1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
| 1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 65807 |
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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.