PROF. RICHARD GUY ROBERTS (NPI# 1992792485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992792485 |
| Entity Type | Individual |
| Full Name | PROF. RICHARD GUY ROBERTS |
| Credential | MD |
| Practice Address |
21 S Vine St Belleville WI 53508-9179 |
| Mailing Address |
777 S Mills St Madison WI 53715-1849 |
| Practice Telephone | 6084243384 |
| Practice Fax Number | 6084246353 |
| Mailing Telephone | 6082633598 |
| Mailing Fax Number | 6082635813 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-11-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25691 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | 25691 | 01 |
| WI | 30531300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225547235 | Richard Rhett Roberts | Student in an Organized Health Care Education/Training Program | 1266 N Laurel Ave Apt 9, West Hollywood, CA 90046-5123 | 2017-09-21 |
| 1902320112 | Richard Aaron Roberts | Pharmacist | 26180 Us Highway 70, Ruidoso Downs, NM 88346-9158 | 2017-07-29 |
| 1093881161 | Richard Martin Roberts | Medical Genetics | 6610 Belvoir Ave, Corpus Christi, TX 78414-3949 | 2006-11-28 |
| 1508953696 | Richard B Roberts | Internal Medicine | 525 E 68th St # F-441, New York, NY 10021-4870 | 2006-10-09 |
| 1124009550 | Richard E Roberts | Optometrist | 717 Okoma Drive, Omak, WA 98841 | 2005-11-11 |
| 1932763281 | Richard Scott Roberts | Student in an Organized Health Care Education/Training Program | 1000 N Lee Ave Rm 1980, Oklahoma City, OK 73102-1036 | 2019-04-23 |
| 1285155234 | Richard Roberts | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 744, Royal Oak, MI 48073-6770 | 2017-06-29 |
| 1801213046 | Richard Ogden Roberts IIi | Pediatrics | 6701 Fannin St, Houston, TX 77030-2608 | 2014-03-26 |
| 1548507494 | Richard Jay Roberts | Pharmacist | 4495 Roosevelt Blvd, E1, Jacksonville, FL 32210-3375 | 2013-01-12 |
| 1366772261 | Richard A. Roberts | Nurse Anesthetist, Certified Registered | 1000 Pine St, Texarkana, TX 75501-5100 | 2009-12-28 |
| Street Address |
21 S VINE ST |
| City | BELLEVILLE |
| State | WI |
| Zip Code | 53508-9179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659639532 | Christa A Pittner-smith | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2012-04-27 |
| 1710111505 | Sarah E Galewyrick | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2009-05-07 |
| 1982819280 | Mia D Croyle | Counselor | 21 S Vine St, Belleville, WI 53508-9179 | 2007-05-11 |
| 1063420511 | Jennifer Elizabeth Lochner | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2006-08-03 |
| 1679597793 | George L Gay Jr. | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2006-07-26 |
| 1972545705 | Stephen W. Olcott | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2006-06-13 |
| 1881646917 | Cynthia L Haq | Family Medicine | 21 S Vine St, Belleville, WI 53508 | 2006-05-17 |
| 1376595488 | Byron J Crouse | Family Medicine | 21 S Vine St, Belleville, WI 53508 | 2006-05-17 |
| 1790737872 | Melissa M Stiles | Family Medicine | 21 S Vine St, Belleville, WI 53508-9179 | 2006-05-16 |
| 1427018720 | Bruce P Barrett | Family Medicine | 21 S Vine St, Belleville, WI 53508 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980900 | Nancy Statz | Technician | W3495 Buol Rd., Belleville, WI 53508 | 2019-09-05 |
| 1881177897 | Belleville Hometown Pharmacy LLC | Pharmacy | 1 West Main St, Belleville, WI 53508 | 2018-09-14 |
| 1487851101 | Belleville Area Emergency Medical Service | Ambulance | 480 River St, Belleville, WI 53508 | 2007-06-27 |
| 1962604702 | Flesch Chiropractic Ltd | Chiropractor | 29 W. Main St., Belleville, WI 53508 | 2007-06-04 |
| 1255397121 | Madonna A Binkowski | Social Worker | 21 S Vine Street, Belleville, WI 53508 | 2006-04-21 |
| 1154381028 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 1121 Bellwest Blvd, Belleville, WI 53508 | 2006-03-24 |
| 1104455609 | Kane Laks | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1043849540 | Brian Kenealy | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1386273852 | Stefanie Sippl | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| 1164051686 | Eleanor Meisner | Student in an Organized Health Care Education/Training Program | 1121 Bell West Blvd, Belleville, WI 53508 | 2020-04-06 |
| Find all providers in zip 53508 | ||||
| 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 |
|---|---|---|---|---|
| 1417591173 | Dimi Dawn Resch | Family Medicine | 373 Roanoke Dr, Belleville, IL 62221-5723 | 2019-11-05 |
| 1013559749 | Christine Evansco | Family Medicine | 105 S 35th St, Belleville, IL 62226-6314 | 2019-10-15 |
| 1851800288 | Republic County Family Clinic, P.a. | Family Medicine | 2337 G St Ste 2, Belleville, KS 66935-2462 | 2017-09-28 |
| 1154854008 | Kurtis William Klecan | Family Medicine | 2337 G St Ste 100, Belleville, KS 66935-2462 | 2017-04-07 |
| 1144753096 | Ace Medical Services LLC | Family Medicine | 929 Ridgecrest Dr, Belleville, IL 62220-3163 | 2017-04-07 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1871993139 | Wayne Bresee Cox II | Family Medicine | 10 Celeste Ct, Belleville, IL 62223-1907 | 2014-08-23 |
| 1811252547 | Jianming Alexander Lau | Family Medicine | 201 3rd St 200, Belleville, MI 48111-2605 | 2012-07-09 |
| 1548531320 | Donald H Buser | Family Medicine | 116 S Fairway Dr, Belleville, IL 62223-2228 | 2012-01-25 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 53508 |
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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.