GARY A ROBERTS (NPI# 1841381548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841381548 |
| Entity Type | Individual |
| Full Name | GARY A ROBERTS |
| Credential | MD |
| Practice Address |
2020 Sutter Pl #101 Davis CA 95616-6201 |
| Mailing Address |
Po Box 255228 Sacramento CA 95865-5228 |
| Practice Telephone | 5307505830 |
| Practice Fax Number | 5307505891 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | G52311 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G523110 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881887727 | Gary Kirkwood Roberts | Dentist | 750 Welch Rd Ste 118, Palo Alto, CA 94304-1508 | 2007-08-23 |
| 1225044282 | Gary L Roberts | Dentist | 8510 Line Ave, Shreveport, LA 71106-6119 | 2006-07-31 |
| 1861740250 | Gary Roberts Jr. | Counselor | 6202 S Lewis Ave Ste H, Tulsa, OK 74136-1064 | 2012-08-16 |
| 1578849451 | Gary Ray Roberts | Pharmacist | 2181 Harrodsburg Rd, Lexington, KY 40504 | 2011-10-24 |
| 1043476120 | Gary L Roberts | Case Manager/Care Coordinator | 3000 41st Street Ocean, Marathon, FL 33050-2373 | 2008-07-29 |
| 1598843815 | Gary L Roberts | Optometrist | 2151 Shenango Valley Fwy, Hermitage, PA 16148-2586 | 2006-11-02 |
| 1801972468 | Gary Frey Roberts | Family Medicine | 2692 N Galloway Ave, Suite 401, Mesquite, TX 75150-6360 | 2006-10-27 |
| 1346284585 | Gary Roy Roberts | Counselor | 138 North Court Street, Wampsville, NY 13163 | 2006-06-16 |
| 1689636599 | Gary Frank Roberts | Internal Medicine | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653-1889 | 2006-04-05 |
| 1346224730 | Gary J Roberts | Orthopaedic Surgery | 325 E H St, Iron Mountain, MI 49801-4760 | 2005-11-30 |
| Street Address |
2020 SUTTER PL #101 |
| City | DAVIS |
| State | CA |
| Zip Code | 95616-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467428656 | Michael S Petersen | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2006-02-27 |
| 1841706140 | Eric Bailey | Specialist/Technologist | 2020 Sutter Pl, Davis, CA 95616-6213 | 2017-12-21 |
| 1366835670 | Alexa Christine Smith-ellison | Nurse Practitioner | 2020 Sutter Pl, 203, Davis, CA 95616-6213 | 2015-03-11 |
| 1467844969 | Eric Westgate Kinsey | Physician Assistant | 2020 Sutter Pl, 101, Davis, CA 95616-6213 | 2015-02-20 |
| 1720345895 | David Posner | Family Medicine | 2020 Sutter Pl, Suite 101, Davis, CA 95616-6213 | 2012-04-13 |
| 1487942728 | Amparo M Cerda | Registered Nurse | 2020 Sutter Pl, Ste 101, Davis, CA 95616-6213 | 2011-07-20 |
| 1043442650 | Scott Mcintosh Porter | Orthopaedic Surgery | 2020 Sutter Pl, Suite 104, Davis, CA 95616-6213 | 2009-08-14 |
| 1174764187 | Jessica Lynn Witty Nagel | Advanced Practice Midwife | 2020 Sutter Pl, Suite 203, Davis, CA 95616-6213 | 2009-03-20 |
| 1457508608 | Mark Moeller | Family Medicine | 2020 Sutter Pl, Suite 101, Davis, CA 95616-6213 | 2008-08-19 |
| 1396924874 | Sarah Joan Markley | Pediatrics | 2020 Sutter Pl, Davis, CA 95616-6213 | 2007-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560871 | Anne-frances Ostrander | Physical Therapy Assistant | 397 La Rue Rd, Davis, CA 95616 | 2020-08-26 |
| 1487271458 | Alix Peloso Mahon | Behavior Technician | 1212 Alvarado Ave Apt 68, Davis, CA 95616 | 2020-06-25 |
| 1427671882 | Dhhs Ihs Cao Sacred Oaks Healing Center | Substance Abuse Rehabilitation Facility | 33100 County Road 31, Davis, CA 95616 | 2020-05-20 |
| 1871126961 | Linda Marie Adams | Dietitian, Registered | Uc Davis Occupational Health, One Shields Ave - Cowell Hall Room 35, Davis, CA 95616 | 2020-02-17 |
| 1851935217 | Timothy James Johnston | Orthotist | 635 Anderson Rd., Suite 18, Davis, CA 95616 | 2019-10-29 |
| 1386290716 | Dakota Cool | Specialist/Technologist | 750 Orchard Road, Davis, CA 95616 | 2019-08-12 |
| 1366908618 | Capitol Periodontal Group | Dentist | 750 F Street #5, Davis, CA 95616 | 2019-02-12 |
| 1831663434 | Elisha Niccole Cusumano | Specialist/Technologist | 264 Hickey Gym, 1 Shields Ave, Davis, CA 95616 | 2019-01-16 |
| 1609364991 | Aron Matthew Katz | Psychologist | One Shield Ave, Student Health & Wellness Center, Bhp, Davis, CA 95616 | 2018-04-23 |
| 1316463938 | Arielle Pinkston | Marriage & Family Therapist | 203 F St, Davis, CA 95616 | 2017-08-15 |
| Find all providers in zip 95616 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932514973 | Kiah Connolly | Emergency Medicine | 3700 Arroyo Ave, Davis, CA 95618-7105 | 2014-06-29 |
| 1689802803 | Rocky P.j. Jedick | Emergency Medicine | 2206 Halsey Cir, Davis, CA 95618 | 2009-06-25 |
| 1821185802 | Richard Ruel Blohm | Emergency Medicine | 39339 Spyglass Pl, Davis, CA 95616-7009 | 2006-10-09 |
| 1912015462 | Mark L. Palmeri | Emergency Medicine | 2000 Sutter Place, Davis, CA 95616-6201 | 2006-08-25 |
| 1316970338 | Michael Palchak | Emergency Medicine | 25133 County Road 96, Davis, CA 95616-9476 | 2006-07-10 |
| 1326346438 | Cep America - California | Emergency Medicine | 2000 Sutter Pl, Davis, CA 95616-6201 | 2011-03-14 |
| 1063504413 | Sutter Emergency Medical Associates | Emergency Medicine | 2000 Sutter Place, Davis, CA 95616-6201 | 2006-09-29 |
| 1710095716 | Deven Babubhai Merchant | Emergency Medicine | 2000 Sutter Place, Davis, CA 95616 | 2006-08-29 |
| 1124136650 | Ryan N. Gorton | Emergency Medicine | 2000 Sutter Place, Davis, CA 95616-6201 | 2006-08-25 |
| 1871601310 | Robert L. Rosenthal | Emergency Medicine | 2000 Sutter Place, Davis, CA 95616-6201 | 2006-08-25 |
| Find all providers in DAVIS | ||||
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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.