ROGER W ROBERTS (NPI# 1093778003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093778003 |
| Entity Type | Individual |
| Full Name | ROGER W ROBERTS |
| Credential | D.O. |
| Practice Address |
1301 W 12th Ave Ste 301 Emporia KS 66801-2590 |
| Mailing Address |
1201 W 12th Ave Emporia KS 66801-2504 |
| Practice Telephone | 6203432376 |
| Mailing Telephone | 6203436800 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2015-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0317701 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 060030783 | 01 | |
| KS | 100098630C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609171511 | Roger Lewis Roberts | Massage Therapist | 12040 Hill Rd, Wattsburg, PA 16442-1212 | 2011-01-24 |
| 1447247234 | Roger W Roberts | Chiropractor | 1819 Paseo San Luis, Sierra Vista, AZ 85635-4613 | 2005-10-05 |
| 1003885138 | Roger D Roberts | Optometrist | 6601 N Avondale Ave, Suite 102, Chicago, IL 60631-1572 | 2006-03-14 |
| 1871595389 | Roger Roberts Jr. | Pediatrics | 300 E Boyd Ave Ste 250, Greenfield, IN 46140-2845 | 2005-08-15 |
| Street Address |
1301 W 12TH AVE STE 301 |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801-2590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144221656 | Juanita J. Bittle | Physician Assistant | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2005-08-09 |
| 1720350580 | Tamara E Patterson | Nurse Practitioner | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2012-02-08 |
| 1407175573 | Anna Lasota | Family Medicine | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2010-05-27 |
| 1629396551 | Ryan Lasota | Family Medicine | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2010-05-17 |
| 1154649044 | Jennifer Esau | Family Medicine | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2010-05-17 |
| 1912138074 | Matthew John Turner | Surgery | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2009-08-06 |
| 1114085594 | Newman Memorial County Hospital | Family Medicine | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2006-12-05 |
| 1093775785 | Timothy Paul Harris | Surgery | 1301 W 12th Ave Ste 301, Emporia, KS 66801-2590 | 2006-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1851390447 | Emporia Clinic Corp | Internal Medicine | 511a Belfield Dr, Emporia, VA 23847-1217 | 2005-07-18 |
| 1609872456 | Dominic Vincent Hurley | Internal Medicine | 1301 W 12th Ave Ste 207, Emporia, KS 66801 | 2005-06-27 |
| 1588066567 | Dominion Heart & Vascular Clinic | Internal Medicine | 6 Doctors Dr, Emporia, VA 23847-1240 | 2014-09-22 |
| 1770765620 | Virginia Medical Group, PC | Internal Medicine | 306 Weaver Ave, Emporia, VA 23847-1232 | 2007-12-03 |
| 1164485124 | Michael F Lloyd | Internal Medicine | 1301 W 12th Ave Ste 207, Emporia, KS 66801 | 2006-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1083010458 | Mancina Cardiovascular Medicine | Internal Medicine | 1601 Washington Blvd, Kansas City, KS 66102-2841 | 2014-11-13 |
| 1225303563 | Shone Oscar Almeida | Internal Medicine | 5100 W 110th St Fl 2, Overland Park, KS 66211-1215 | 2012-03-20 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1932369238 | Sherman M. Steinzeig | Internal Medicine | 6620 W 93rd St, Apt. A, Overland Park, KS 66212-1303 | 2008-06-11 |
| 1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
| 1790834950 | Amit Kumar | Internal Medicine | 6730 Sw 29th St Ste 200, Topeka, KS 66614-5650 | 2007-01-09 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1770684912 | Ronnie G. Smalling | Internal Medicine | 11025 Metcalf Avenue, Overland Park, KS 66210 | 2006-09-26 |
| 1356454912 | Thomas L Rosamond | Internal Medicine | 4000 Cambrodge Street Ste G600, Kansas City, KS 66160-8501 | 2006-08-17 |
| Find all providers with the same taxonomy | ||||
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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.