DAVID J ROBERTS (NPI# 1972584381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972584381 |
| Entity Type | Individual |
| Full Name | DAVID J ROBERTS |
| Credential | MD |
| Practice Address |
1900 Centracare Cir Saint Cloud MN 56303-5000 |
| Practice Telephone | 3202402205 |
| Practice Fax Number | 3202295174 |
| Mailing Telephone | 3202402205 |
| Mailing Fax Number | 3202295174 |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2011-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
38900 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL ASSISTANCE | 311325600 | 01 | |
| BLUE CROSS BLUE SHIELD | 31T17RO | 01 | |
| CHAMPUS | COMP | 01 | |
| BLUE CROSS BLUE SHIELD | 491R2RO | 01 | |
| ARAZ GROUP AMERICAS PPO | 596608 | 01 | |
| MMSI | COMP | 01 | |
| HEALTH PARTNERS | HP27097 | 01 | |
| ONE HEALTH PLAN GREAT WES | COMP | 01 | |
| U CARE | 596608 | 01 | |
| PREFERRED ONE | 1033448 | 01 | |
| FIRST HEALTH PLAN | 2114016 | 01 | |
| MEDICA HEALTH PLANS | 2900214 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104342526 | David Roberts | Driver | 419 Blondell Ave, Appalachia, VA 24216-1803 | 2017-08-17 |
| 1326419383 | David Roberts | Dentist | 112 Ne 5th Ave, Milton Freewater, OR 97862-1704 | 2015-10-15 |
| 1508266925 | David Roberts | Case Manager/Care Coordinator | 201 W Spingdale Ave, Knoxville, TN 37917 | 2014-09-04 |
| 1265866073 | David B Roberts | Obstetrics & Gynecology | 44 Wicks Ln, Billings, MT 59105-3810 | 2013-08-28 |
| 1346508397 | David Clark Roberts | Hearing Instrument Specialist | 1632 S Marblehead Rd, Lewisville, NC 27023-7788 | 2012-04-27 |
| 1114229010 | David J Roberts | Counselor | 5n017 West Woods Dr, Campton Hills, IL 60175-5514 | 2010-11-27 |
| 1255650917 | David Leland Roberts | Psychologist | 7526 Louis Pasteur, San Antonio, TX 78229-4001 | 2010-05-20 |
| 1275868044 | David D Roberts | Hearing Instrument Specialist | 7045 S State St, Midvale, UT 84047-1548 | 2009-10-12 |
| 1346363231 | David Allen Roberts | Physician Assistant | 2012 Greystone Sq, Jackson, TN 38305-3575 | 2007-04-07 |
| 1962528091 | David Ward Roberts | Dentist | 14608 S Harrells Ferry Rd, Baton Rouge, LA 70816-2926 | 2007-03-21 |
| Street Address |
1900 CENTRACARE CIR |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407858020 | Centracare Clinic | Clinic/Center | 1900 Centracare Cir, Centracare Clinic Health Plaza, Saint Cloud, MN 56303-5000 | 2005-08-12 |
| 1245845007 | Kayla Bolland-hillesheim | Counselor | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2020-09-09 |
| 1255976387 | Victoria Sybilla Hadley | Nurse Practitioner | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-13 |
| 1952945560 | Amanda Rae Schwartz | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-11-06 |
| 1467095166 | Cameron Svihla | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-25 |
| 1912540188 | Zoe Boehmer | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-10-21 |
| 1669033429 | Haley Vonbank | Physical Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-06-24 |
| 1396302741 | Karen Ann Reisdorf | Dietitian, Registered | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-05-21 |
| 1316500648 | Carrilyn Bechtold | Occupational Therapist | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-04-22 |
| 1770049066 | Clinton James Billhorn | Physician Assistant | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518382647 | St Cloud Gastroenterology Pllc | Internal Medicine | 2801 13th Street, Saint Cloud, FL 34769 | 2014-02-26 |
| 1316974744 | Rafael A Fleites | Internal Medicine | 2801 13th St, Saint Cloud, FL 34769 | 2006-06-28 |
| 1356760987 | Jaclyn N Jacobs | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2014-04-10 |
| 1588957435 | Om Amin | Internal Medicine | 1330 Budinger Ave Ste 206, Saint Cloud, FL 34769-4137 | 2011-05-25 |
| 1013908789 | Bradley E Currier | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-11-02 |
| 1457342503 | Albert S Hammond IIi | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-28 |
| 1225029374 | Steven H Bollinger | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-28 |
| 1619968765 | Randy C Saliares | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-28 |
| 1528058930 | Scot W Hutton | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-26 |
| 1982694659 | Paul J Dorsher | Internal Medicine | 1900 Centracare Cir, Saint Cloud, MN 56303-5000 | 2005-10-25 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on DAVID J ROBERTS.
| 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.