CHARLES EUGENE ROBERTS IV (NPI# 1043834278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043834278 |
| Entity Type | Individual |
| Full Name | CHARLES EUGENE ROBERTS IV |
| Practice Address |
547 E Columbus Ave Bellefontaine OH 43311-2480 |
| Practice Telephone | 9372106818 |
| Mailing Telephone | 9372106818 |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 000870 | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083064836 | Charles Roberts II | Pharmacist | 597 Donald C. Moore Drive, Lebanon, VA 24266 | 2016-06-13 |
| 1982987087 | Charles Alexander Roberts IIi | Chiropractor | 4670 Nw 183rd St, Miami Gardens, FL 33055 | 2011-09-25 |
| 1609065887 | Charles T. Roberts | Counselor | 1009 Falls Pkwy Ste A, Marble Falls, TX 78654-4630 | 2007-10-23 |
| 1386850683 | Charles E. Roberts | Dentist | 5101 E Farness Dr, Suite C, Tucson, AZ 85712-6116 | 2007-05-15 |
| 1982821286 | Charles Alfred Roberts | Chiropractor | 2835 Us Highway 35 N, Richmond, IN 47374-9706 | 2007-04-19 |
| 1144320656 | Charles David Roberts | Chiropractor | 2497 S Roane St, Suite 260, Harriman, TN 37748-8670 | 2006-09-24 |
| 1164417846 | Charles Ray Roberts | Optometrist | 1181 E Fry Blvd, Sierra Vista, AZ 85635-2669 | 2005-09-19 |
| 1386262251 | Charles Richard Roberts IIi | Nurse Anesthetist, Certified Registered | 1805 27th St, Portsmouth, OH 45662-2640 | 2020-07-08 |
| 1134763543 | Charles M Roberts | Behavior Technician | 1018 N Bragg Blvd Ste A, Spring Lake, NC 28390-3316 | 2019-10-30 |
| 1275095507 | Charles Roberts | Student in an Organized Health Care Education/Training Program | 4700 Waters Ave, Savannah, GA 31404-6220 | 2019-04-04 |
| Street Address |
547 E COLUMBUS AVE |
| City | BELLEFONTAINE |
| State | OH |
| Zip Code | 43311-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760082515 | Liza Hensley | Pharmacist | 2281 S. Main Street, Bellefontaine, OH 43311 | 2020-10-30 |
| 1285273367 | Mona Kaye Garrison | Family Medicine | 1860 S Main St, Bellefontaine, OH 43311 | 2020-01-06 |
| 1316429012 | Hana Elizabeth Fischesser | Speech-Language Pathologist | 205 Palmer Street, Bellefontaine, OH 43311 | 2018-08-30 |
| 1063934719 | Sophia Do Vang | Physician Assistant | 1860 S Main Street, Bellefontaine, OH 43311 | 2017-07-14 |
| 1164978441 | Jennifer Gaver | Specialist | 921 Rush Avenue, Bellefontaine, OH 43311 | 2016-08-28 |
| 1598186561 | Candice Nanette Stevens | Registered Nurse | 208 Blair Ave, Bellefontaine, OH 43311 | 2013-12-18 |
| 1225395361 | Nicholas J Peters | Orthopaedic Surgery | 1134 N Main St Ste 2500, Bellefontaine, OH 43311 | 2012-04-13 |
| 1679868889 | Melissa Rae Lallo | Physical Therapist | 711 Rush Avenue, Bvellefontaine, OH 43311 | 2011-06-15 |
| 1912146572 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 141 Richard Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| 1710126370 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 329 East Spring Avenue, Bellefontaine, OH 43311 | 2009-02-05 |
| Find all providers in zip 43311 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093330318 | Sherri Lee Gale | Peer Specialist | 289 Township Road 190 W, Bellefontaine, OH 43311-9448 | 2020-06-11 |
| 1265095822 | Amy Suzanne Ward | Peer Specialist | 504 Eastern Ave, Bellefontaine, OH 43311-1975 | 2019-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | BELLEFONTAINE |
| Zip Code | 43311 |
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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.