ROBERT LEE ROSEBERRY (NPI# 1871561274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871561274 |
| Entity Type | Individual |
| Full Name | ROBERT LEE ROSEBERRY |
| Practice Address |
1 Pinckney Blvd Beaufort SC 29902-6122 |
| Mailing Address |
36 Park Cir Bluffton SC 29910-8012 |
| Practice Telephone | 8432283633 |
| Mailing Telephone | 8438153190 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| Street Address |
1 PINCKNEY BLVD |
| City | BEAUFORT |
| State | SC |
| Zip Code | 29902-6122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457352643 | Terry Lynn Elliott | Family Medicine | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2005-08-10 |
| 1366042327 | Selena Damiano | Physician Assistant | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-10-29 |
| 1023620150 | Duy Thien Vinh Truong | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-08-19 |
| 1366060071 | Christopher Taylor Davis | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-09 |
| 1942828884 | Abraham Kim | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-07-07 |
| 1205468907 | Maurice Jones | Nurse Practitioner | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2020-02-10 |
| 1629610134 | Alicia Lynn Weaver | Dietitian, Registered | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-16 |
| 1710529995 | Jules C Martowski | Psychologist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-10-09 |
| 1053968784 | John Claiborne Millar | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-19 |
| 1043866049 | Celeste Roberts | Dentist | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1750992475 | Fayth Polite | Social Worker | 2210 Salem Drive East, Beaufort, SC 29902 | 2020-08-14 |
| 1417509530 | Andrew Grant Miner | Dentist | Naval Hospital Beaufort, 1 Pinckney Blvd., Fpo, AA 29902 | 2019-07-09 |
| 1376029777 | Edward Dela Fuente | Counselor | Coastal Empire Mental Health Center, 1050 Ribaut Road, Beaufort, SC 29902 | 2018-07-18 |
| 1114440419 | Kristin Webb | Registered Nurse | 607 Wilmington Street, Beaufort, SC 29902 | 2017-07-19 |
| 1326582081 | Annemarie Gierling Gault | Nurse Practitioner | Beaufort Memorial Medical Oncology Infusion Center, 989 Ribaut Rd, Ste 103, Beaufort, SC 29902 | 2016-12-14 |
| 1114396579 | Jacquelyn Faith Proulx | Dentist | 1 Pickney Blvd., Naval Hospital Beaufort, Beaufort, SC 29902 | 2015-09-16 |
| 1386028413 | Howard Family Dental - Beaufort, Pllc | Dentist | 35 Robert Smalls Pkwy, Beaufort, SC 29902 | 2015-07-18 |
| 1598018103 | Lisa Marie Johnson | Occupational Therapist | 9555 Ribaut Road, Beaufort Memorial Hospital, Beaufort, SC 29902 | 2012-10-19 |
| 1134497860 | Jeremy Michael Simmons | Pharmacist | 2127 Boundary Street, Suite 19, Beaufort, SC 29902 | 2011-12-08 |
| Find all providers in zip 29902 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346619558 | Matthew Shaun Woodruff | Military Health Care Provider | Post Office Box 66038, Marine Aircraft Group 31, Beaufort, SC 29904-6038 | 2015-09-17 |
| 1184827941 | Matthew Barnhart | Military Health Care Provider | Mcas Branch Health Clinic, Beaufort, SC 29904-5020 | 2007-06-08 |
| 1730484486 | Gerald Dickson Ramones | Military Health Care Provider | 1 Pinckney Blvd, Mcrd Parris Island, Bhc Parris Island, Beaufort, SC 29902-6122 | 2011-01-11 |
| 1194999185 | Ernst Schettini | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-04-22 |
| 1144408501 | Matthew David Hall | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2008-02-07 |
| 1588690465 | Michael Owen Congdon | Military Health Care Provider | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700144821 | Joshua William Crum | Military Health Care Provider | 7 Saddlemount Ln, Simpsonville, SC 29680-7056 | 2012-04-26 |
| 1114295052 | Juan Camachoaclderon | Military Health Care Provider | 204 Maplewood Ridge, Summerville, SC 29483 | 2011-12-07 |
| 1467783506 | Dennis Jason Green | Military Health Care Provider | 1050 Remount Rd, North Charleston, SC 29406-3544 | 2010-01-28 |
| 1861461667 | Cheryl R Murphy | Military Health Care Provider | 669 Blvd De France, Branch Health Clinic, Parris Island, SC 29905-9501 | 2006-03-15 |
| 1164499513 | Timothy Macon | Military Health Care Provider | 123 Sully St, Goose Creek, SC 29445-5447 | 2006-03-03 |
| 1932281102 | Kelly Lynn Youngerman | Military Health Care Provider | 110 Nnptc Cir, Goose Creek, SC 29445-6314 | 2006-10-19 |
| 1922068147 | Christopher Peterson | Military Health Care Provider | 3600 Rivers Ave, N Charleston, SC 29405-7747 | 2006-03-23 |
| 1023085008 | Edwin Ray Lashley | Military Health Care Provider | Naval Hospital, 3600 Rivers Ave, N. Charleston, SC 29405 | 2006-03-08 |
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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.