DR. JONATHAN CHARLES ROBERTS (NPI# 1871757070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871757070 |
Entity Type | Individual |
Full Name | DR. JONATHAN CHARLES ROBERTS |
Credential | M.D. |
Practice Address |
9128 N Lindbergh Dr Peoria IL 61615-1422 |
Practice Telephone | 3096925337 |
Practice Fax Number | 3096933913 |
Mailing Telephone | 3096925337 |
Mailing Fax Number | 3096933913 |
Enumeration Date | 2008-07-16 |
Last Update Date | 2015-11-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | 55876 | WI | Allopathic & Osteopathic Physicians |
Y | 208000000X | Pediatrics | 125.054688 | IL | Allopathic & Osteopathic Physicians |
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
55876 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 1871757070 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053972653 | Jonathan Michael Roberts | Student in an Organized Health Care Education/Training Program | U of M, Department of Anesthesiology, 1500 East Medical Center Drive, 1h241 Uh, Ann Arbor, MI 48109-5048 | 2019-06-25 |
1023416542 | Jonathan Roberts | Counselor | 1212 Richmond Ave, Staten Island, NY 10314-1506 | 2014-12-16 |
1710239041 | Jonathan M. Roberts | Pharmacist | 1835 Florida Club Cir Apt 3204, Naples, FL 34112-8729 | 2012-10-10 |
1881751667 | Jonathan Jerard Roberts | Internal Medicine | 429 E Airport Ave Ste 2, Baton Rouge, LA 70806 | 2007-01-02 |
1790843241 | Jonathan Matthew Roberts | Dentist | 2121 25th Street, Suite 2, Columbus, IN 47201-3214 | 2006-12-05 |
1700985371 | Jonathan L Roberts | Chiropractor | 230 W 6th St, Newton, KS 67114-2131 | 2006-09-21 |
1154385789 | Jonathan S Roberts | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021 | 2006-04-12 |
1861763310 | Jonathan Roberts | Dentist | 501 Madison Ave, New York, NY 10022-5602 | 2012-01-14 |
1649406224 | Jonathan Chambers Roberts | Student in an Organized Health Care Education/Training Program | 1 Deaconess Rd, Wcc2, Department of Emergency Medicine, Boston, MA 02215-5321 | 2009-06-09 |
1710127063 | Jonathan Roberts | Social Worker | 4353 E Colfax Ave, Denver, CO 80220-1115 | 2009-02-26 |
Street Address |
9128 N LINDBERGH DR |
City | PEORIA |
State | IL |
Zip Code | 61615-1422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396731063 | Michael D Tarantino | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2005-09-27 |
1396396024 | Kristin T Ansteatt | Registered Nurse | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2019-09-24 |
1225571219 | Jackie Marie Helms | Nurse Practitioner | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2016-11-23 |
1720450026 | Elizabeth Ann Lepper | Nurse Practitioner | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2015-10-26 |
1639508567 | The Bleeding and Clotting Disorders Institute | Pharmacy | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2013-11-01 |
1639434871 | Stephanie Lynn Arnold | Pharmacist | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2012-07-12 |
1962783431 | The Bleeding and Clotting Disorders Institute | Pharmacy | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2011-08-29 |
1134424633 | The Bleeding and Clotting Disorders Institute | Clinic/Center | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2011-01-14 |
1538469481 | Rohith Jesudas | Pediatrics | 9128 N Lindbergh Dr, Peoria, IL 61615-1422 | 2010-10-26 |
1366461139 | Amanda Kilgore | Physical Therapist | 9128 N Lindbergh Dr, Peoria, IL 61615 | 2006-07-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
Find all providers in zip 61615 |
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 |
---|---|---|---|---|
1780200865 | Kuang Chuen Liu | Pediatrics | 530 Ne Glen Oak Ave, Peoria, Peoria, IL 61637 | 2020-06-24 |
1578186839 | Katie Michelle Stapleton | Pediatrics | Osf St Francis Medical Center 530 Ne Glen Oak Avenue, Peoria, IL 61637-0001 | 2020-05-21 |
1760042162 | Paulette Padilla | Pediatrics | 3128 N Linnhill Ct, Peoria, IL 61604-1650 | 2019-06-18 |
1942799465 | Khaled Faisal Abdul Rahman | Pediatrics | 530 Ne Glen Oak Ave Bldg 5th, Peoria, IL 61637-0001 | 2018-05-10 |
1356859128 | Pleasant Pediatrics Plc | Pediatrics | 10204 W Happy Valley Rd Ste 165, Peoria, AZ 85383-2880 | 2018-01-16 |
1427408863 | Josef Newman | Pediatrics | 5654 N Building, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2016-06-16 |
1962856054 | Brittany Nichole Vaio | Pediatrics | 9059 W Lake Pleasant Pkwy Suite E-540, Peoria, AZ 85382 | 2016-04-15 |
1790025591 | Pleasant Pediatrics Plc | Pediatrics | 9744 W Northern Ave, Suite 1310, Peoria, AZ 85345-4603 | 2013-02-15 |
1629365424 | May C Sun | Pediatrics | 2401 W Alta Rd Apt 905, Peoria, IL 61615-1290 | 2011-06-30 |
1205064003 | Sandhya Chaudhari | Pediatrics | 530 Ne Glran Oak Ave, Peoria, IL 61637-0001 | 2009-06-30 |
Find all providers in PEORIA |
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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.