JORGE LUIS ROMAN (NPI# 1952641490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952641490 |
| Entity Type | Individual |
| Full Name | JORGE LUIS ROMAN |
| Credential | MS |
| Practice Address |
813 S Northshore Dr Suite 105 Knoxville TN 37919-7594 |
| Mailing Address |
Po Box 10372 Knoxville TN 37939-0372 |
| Practice Telephone | 8655844005 |
| Practice Fax Number | 8655845551 |
| Mailing Telephone | 8655844005 |
| Mailing Fax Number | 8655845551 |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922026459 | Jorge A Roman Sr. | Dentist | Carr.#2 Km 96.8 Bo. Cocos, Altos Farmacia Gloriana, Quebradillas, PR 00678 | 2006-07-17 |
| 1053899385 | Jorge Luis Roman | Behavioral Analyst | 3100 S Central Ave, Cicero, IL 60804-3956 | 2018-07-30 |
| 1003343096 | Jorge Roman | Counselor | 70 S River St, Aurora, IL 60506-5185 | 2017-05-22 |
| 1851824825 | Jorge Roman | Student in an Organized Health Care Education/Training Program | 550 1st Ave, New York, NY 10016 | 2017-04-06 |
| 1013208628 | Jorge Efrain Roman | Nurse Practitioner | 1141 Pear Tree Ln, Suite 100, Napa, CA 94558-6484 | 2011-04-29 |
| 1497703433 | Jorge L Roman IIi | Radiology | 6800 N Macarthur Blvd, Irving, TX 75039 | 2006-05-04 |
| Street Address |
813 S NORTHSHORE DR SUITE 105 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-7594 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083805063 | Rose Gamble | Counselor | 813 S Northshore Dr, Suite 105, Knoxville, TN 37919-7594 | 2007-08-06 |
| 1942568019 | Bearden Psychological & Wellness Center, Pllc | Psychologist | 813 S Northshore Dr, Suite 105, Knoxville, TN 37919-7594 | 2012-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512377 | Wes Allen | Counselor | 123 Center Park Dr, Knoxville, TN 37922-2166 | 2020-09-12 |
| 1619581717 | Natasha Schwinn | Counselor | 2015 Maplewood Dr, Knoxville, TN 37920-2750 | 2020-09-04 |
| 1316558695 | Lauren Claire Lay | Counselor | 123 Center Park Dr Ste 104, Knoxville, TN 37922-2167 | 2020-08-11 |
| 1285250423 | Krista Asp | Counselor | 504 Bobolink Rd, Knoxville, TN 37934-4722 | 2020-06-23 |
| 1710507660 | Constance King | Counselor | 9111 Cross Park Dr Ste E275, Knoxville, TN 37923-4532 | 2020-04-21 |
| 1407402688 | Allysen Efferson | Counselor | 9505 Fortress Ln, Knoxville, TN 37922-6683 | 2019-08-14 |
| 1265096242 | Leigh Mitchell Owens | Counselor | 5401 Kingston Pike Ste 495, Knoxville, TN 37919-5043 | 2019-04-25 |
| 1205399003 | Ann Clark Wheeler | Counselor | 6906 Kingston Pike Ste 104, Knoxville, TN 37919-5704 | 2019-04-09 |
| 1609335140 | Emily Ruth Ellis | Counselor | 416 Country Oak Cir, Knoxville, TN 37909-3430 | 2019-03-14 |
| 1154891596 | Lesley Shiver | Counselor | 4109 Garden Dr, Knoxville, TN 37918-3504 | 2018-11-28 |
| Find all providers in KNOXVILLE | ||||
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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.