THOMAS N ROBERTS (NPI# 1790789584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790789584 |
| Entity Type | Individual |
| Full Name | THOMAS N ROBERTS |
| Credential | MD |
| Practice Address |
3111 Gundersen Drive Onalaska WI 54650-8512 |
| Mailing Address |
1836 South Ave La Crosse WI 54601-5429 |
| Practice Telephone | 6087968630 |
| Mailing Telephone | 6087827300 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2010-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 16771 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 31116600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982815882 | Thomas Luther Roberts Iv | Dentist | 2 Walden Ridge Drive, Suite 50, Asheville, NC 28803 | 2007-05-24 |
| 1568672947 | Thomas W. Roberts | Dentist | 6809 South Dixie Highway, West Palm Beach, FL 33405-4602 | 2007-05-23 |
| 1396969341 | Thomas Everette Roberts | Marriage & Family Therapist | 2056 Lyndell Ter Ste 150, Davis, CA 95616-6210 | 2007-04-12 |
| 1235222951 | Thomas Glenn Roberts | Dentist | 100 W Harrison St, N. Tower #150, Seattle, WA 98119-4116 | 2006-10-02 |
| 1053421511 | Thomas Scott Roberts | Family Medicine | 210 N Main St., Brownstown, IN 47220-1509 | 2006-08-30 |
| 1205859857 | Thomas G Roberts | Physician Assistant | 12671 Emerald Coast Pkwy W, Unit 215, Miramar Beach, FL 32550-8300 | 2006-07-25 |
| 1841221181 | Thomas Whitfield Roberts | Podiatrist | 2441 Us Highway 98 W Ste 102, Santa Rosa Beach, FL 32459-5386 | 2006-07-05 |
| 1285601658 | Thomas S Roberts | Internal Medicine | 1850 Ridge Rd E, Suite 11, Rochester, NY 14622-2448 | 2006-03-03 |
| 1912971045 | Thomas E. Roberts | Specialist | 15405 Los Gatos Blvd, 104, Los Gatos, CA 95032-2500 | 2006-02-15 |
| 1740273671 | Thomas Henry Roberts | Pathology | St Anthony Memorial Hospital, 301 E Homer St, Michigan City, IN 46360 | 2005-08-25 |
| Street Address |
3111 GUNDERSEN DRIVE |
| City | ONALASKA |
| State | WI |
| Zip Code | 54650-8512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891797106 | Sarah S Naik | Internal Medicine | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-01 |
| 1578981486 | Whitney Christine Jandl | Specialist/Technologist | 3111 Gundersen Drive, Onalaska, WI 54650 | 2014-03-29 |
| 1851385199 | Joseph Edward La Mere | Specialist/Technologist | 3111 Gundersen Drive, Onalaska, WI 54650 | 2005-09-01 |
| 1144225517 | Jonathan S Straker | Physical Therapist | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-14 |
| 1376548768 | James L Tomlin | Physician Assistant | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-14 |
| 1710981154 | Ellen M Ott | Nurse Practitioner | 3111 Gundersen Drive, Onalaska, WI 54650 | 2005-06-13 |
| 1467456830 | John S Purdue | Optometrist | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-13 |
| 1942204342 | Nancy R Rowe | Nurse Practitioner | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-13 |
| 1174527790 | Stephen W Maden | Physical Therapist | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-10 |
| 1295739084 | Shannan K Stephens | Obstetrics & Gynecology | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568824027 | Kyle Quillin | Student in an Organized Health Care Education/Training Program | 236 Kevin Ct, Onalaska, WI 54650 | 2016-03-24 |
| 1831577881 | Katelyn Nicole Patten | Counselor | 575 Lester Ave, Onalaska, WI 54650 | 2015-05-11 |
| 1619369758 | Amelia Vruble | Registered Nurse | 1047 Terrace Drive, Onalaska, WI 54650 | 2015-02-26 |
| 1699186528 | C. Nathan Vannatta | Physical Therapist | 3111 Gunersen Dr, Onalaska, WI 54650 | 2014-05-13 |
| 1770867640 | Claire Sweet | Pharmacist | 9400 Hwy 16, Target T-0620, Onalaska, WI 54650 | 2011-10-10 |
| 1306140439 | Jared I Darveaux | Internal Medicine | 311 Gundersen Dr, Onalaska, WI 54650 | 2011-01-04 |
| 1326299488 | Demetrios Spyridon Theodoropoulos | Allergy & Immunology | 2727 Midwest Drive, Onalaska, WI 54650 | 2008-10-08 |
| 1114190618 | Nancy Ellen Reithel | Physical Therapist | 610 Westwood Drive, Onalaska, WI 54650 | 2008-04-07 |
| 1902972896 | Maplewood Dental | Dentist | 1202 County Trunk Ph, Suite 300, Onalaska, WI 54650 | 2006-11-24 |
| 1245309327 | Benjamin John Breidenbach | Chiropractor | 1640 George St, Lacrosse, WI 54650 | 2006-11-06 |
| Find all providers in zip 54650 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356791230 | Torey Hilt | Pediatrics | 3111 Gundersen Dr, Onalaska, WI 54650 | 2016-06-21 |
| 1619141785 | Stephanie R Niec | Pediatrics | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2008-04-18 |
| 1568631059 | Elizabeth Rose Hansen | Pediatrics | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2008-02-28 |
| 1033319694 | Casandra Lynn Mensing Grube | Pediatrics | 3111 Gundersen Dr, Onalaska, WI 54650-8447 | 2007-07-23 |
| 1588654099 | David P Capelli | Pediatrics | 191 Theater Rd, Onalaska, WI 54650 | 2005-10-26 |
| 1902808215 | Rajiv M Naik | Pediatrics | 3111 Gundersen Drive, Onalaska, WI 54650-8512 | 2005-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
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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.