DR. DAVID PERRY ROBERGE (NPI# 1932322989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932322989 |
| Entity Type | Individual |
| Full Name | DR. DAVID PERRY ROBERGE |
| Credential | MD |
| Practice Address |
332 N Lauderdale St Memphis TN 38105-2729 |
| Mailing Address |
332 N Lauderdale St Ms 515 Memphis TN 38105-2729 |
| Practice Telephone | 9014953006 |
| Practice Fax Number | 9014953842 |
| Mailing Telephone | 9014953006 |
| Mailing Fax Number | 9014953842 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
36125 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
332 N LAUDERDALE ST |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194710376 | Carla London | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2005-09-14 |
| 1356518237 | Lindsay Margaret Chapman | Nurse Practitioner | 332 N Lauderdale St, Memphis, TN 38105-2729 | 2008-05-10 |
| 1912955352 | Nicole A Mortier | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1487602132 | William H. Schultz | Physician Assistant | 332 N Lauderdale St, Memphis, TN 38105-2794 | 2006-05-05 |
| 1609853332 | Tracy L Kaluzny | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1427035153 | Marion L Donohoe | Nurse Practitioner | 332 N Lauderdale St, Ms 600, Memphis, TN 38105-2729 | 2005-12-23 |
| 1972580603 | Vicki S Frederick | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| 1962489609 | Myra T Hazard | Nurse Practitioner | 332 N Lauderdale St, Ms 735, Memphis, TN 38105-2794 | 2005-12-23 |
| 1417934167 | Vanessa C Howard | Nurse Practitioner | 332 N Lauderdale St, Ms 351, Memphis, TN 38105-2729 | 2005-12-23 |
| 1174500854 | Phyllis J Pollard | Nurse Practitioner | 332 N Lauderdale St, Ms 106, Memphis, TN 38105-2729 | 2005-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801071451 | West Clinic, PC | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2008-01-02 |
| 1518960392 | Thomas E Merchant | Radiology | 262 Danny Thomas Pl # Ms 0515, Memphis, TN 38105-3678 | 2005-05-24 |
| 1942627559 | West Clinic, P.C. | Radiology | 1265 Union Ave, Thomas Basement, Memphis, TN 38104-3415 | 2014-03-20 |
| 1144573999 | Mid-south Medical Professionals, P.a. | Radiology | 6019 Walnut Grove Rd, Memphis, TN 38120-2113 | 2012-10-17 |
| 1639436603 | Sahaja Acharya | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-04-16 |
| 1902127269 | John Thomas Lucas | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105 | 2010-06-21 |
| 1366769069 | Christopher Lon Tinkle | Radiology | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2010-04-21 |
| 1396941449 | Angela H Wortham | Radiology | 6019 Walnut Grove Road, Memphis, TN 38120 | 2007-06-25 |
| 1013017094 | Matthew T. Ballo | Radiology | 100 N Humphreys Blvd, Memphis, TN 38120-2146 | 2006-09-22 |
| 1073616504 | Jea Youl Lee | Radiology | 55 Humphreys Ctr, Suite 100, Memphis, TN 38120-2374 | 2006-09-07 |
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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.