DR. JON W. ROBERTS (NPI# 1962584896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962584896 |
| Entity Type | Individual |
| Full Name | DR. JON W. ROBERTS |
| Credential | DO |
| Practice Address |
Highway 99 & O'banion Street Birch Tree MO 65438 |
| Mailing Address |
Po Box 2580 Springfield MO 65801-2580 |
| Practice Telephone | 5732923214 |
| Practice Fax Number | 5732924442 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2013-05-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | R7838 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 240287201 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043362510 | Jon Douglas Roberts | Chiropractor | 239a Church St, Alexander City, AL 35010-2515 | 2007-01-17 |
| 1104293802 | Jon Roberts | Community Health Worker | 368 Fell St, San Francisco, CA 94102-5144 | 2015-08-28 |
| 1861819385 | Jon Roberts | Counselor | 1345 Birch Ave, Cottage Grove, OR 97424-1416 | 2014-03-21 |
| 1568696235 | Jon Brian Roberts | Surgery | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2009-05-11 |
| 1114933272 | Jon Elliot Roberts | Pediatrics | 3533 S Alameda St, Sloan Bldg, Corpus Christi, TX 78411-1721 | 2006-07-31 |
| 1265420178 | Jon D Roberts | Emergency Medicine | 1600 E Broadway, Columbia, MO 65201-5844 | 2005-10-13 |
| 1366445835 | Jon A Roberts | Radiology | 7695 Poplar Pike, Suite 101, Memphis, TN 38138-5947 | 2005-05-27 |
| Street Address |
HIGHWAY 99 & O'BANION STREET |
| City | BIRCH TREE |
| State | MO |
| Zip Code | 65438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821436015 | Mercy St Francis Hospital | Clinic/Center | Highway 99 and O'banion St, Birch Tree, MO 65438 | 2013-06-10 |
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| 1508261587 | Merri Elizabeth Trotter | Occupational Therapist | Rr 2 Box 2215, Birch Tree, MO 65438-9215 | 2014-11-03 |
| 1356625685 | Americare At Birch Tree Nursing Center, LLC | Skilled Nursing Facility | 8477 North Street, Birch Tree, MO 65438-9215 | 2011-10-05 |
| 1184621914 | Birch Tree Convalscent Center, Inc | Skilled Nursing Facility | Rr 2, Box 2215, Birch Tree, MO 65438-9215 | 2005-07-07 |
| 1497905301 | Jon Paul Dewick | Physical Therapist | Rr 2 Box 2430b, Birch Tree, MO 65438-9222 | 2008-09-27 |
| 1033400304 | Holly Ann Dewick | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Rr 2 Box 2430b, Birch Tree, MO 65438-9222 | 2011-04-21 |
| 1386937456 | Rebecca Mary Romine | Specialist | Rr 2 Box 2493, Birch Tree, MO 65438-9229 | 2011-05-24 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811065477 | Mercy Clinic Springfield Communities | Family Medicine | 9138 O'banion St, Birch Tree, MO 65438 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596877 | Stephanie R Nicholson | Family Medicine | 4500 S Park Ave, Sedalia, MO 65301-8525 | 2020-10-21 |
| 1053919514 | Kelli Lichte | Family Medicine | 601 S 13 Hwy, Lexington, MO 64067-1511 | 2020-10-15 |
| 1053927228 | Cox- Monett Hospital, Inc. | Family Medicine | 1000 E Hwy 60, Monett, MO 65708 | 2020-09-22 |
| 1104432806 | Jefferson Medical Group | Family Medicine | 807 E Broadway St, Brunswick, MO 65236-1468 | 2020-09-17 |
| 1124633995 | Continuum Family Care LLC | Family Medicine | 2336 S Main St, Maryville, MO 64468-3622 | 2020-09-09 |
| 1326652579 | Linda Diane Watson | Family Medicine | 338 Emerson Rd Apt 104, High Ridge, MO 63049-2530 | 2020-09-04 |
| 1447868005 | Brittany Mechelle Waterworth | Family Medicine | 3700 I 70 Dr Se Ste 106, Columbia, MO 65201-6587 | 2020-07-20 |
| 1013542828 | Johns Healthcare Services LLC | Family Medicine | 2001 Independence St Ste A, Cape Girardeau, MO 63703-5805 | 2020-03-12 |
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1568092732 | Scotland County Memorial Hospital | Family Medicine | 55682 State Highway 6, Edina, MO 63537-4267 | 2020-01-16 |
| Find all providers with the same taxonomy | ||||
| City | BIRCH TREE |
| Zip Code | 65438 |
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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.