JULIE ANN ROUBAL


Address: 909 N 96th St, Suite 201, Omaha, NE 68114-2497
Phone: 4023304555

JULIE ANN ROUBAL (NPI# 1114975489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114975489
Entity Type Individual
Full Name JULIE ANN ROUBAL
Credential PA-C
Practice Address 909 N 96th St
Suite 201
Omaha
NE 68114-2497
Practice Telephone 4023304555
Practice Fax Number 4023304626
Mailing Telephone 4023304555
Mailing Fax Number 4023304626
Enumeration Date 2006-05-05
Last Update Date 2011-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
1132 NE Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 909 N 96TH ST
SUITE 201
City OMAHA
State NE
Zip Code 68114-2497

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073517405 Marc R Hapke Pathology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2005-06-13
1134431133 Sara Elizabeth West Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2010-07-07
1225290596 Judy Carmen Wolpert Dermatology 909 N 96th St, Omaha, NE 68114-2497 2008-06-27
1700090024 Ashley Laurel Drake Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2007-05-09
1518078260 Kimberley A Deats Physician Assistant 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2006-08-31
1164531158 Jill S Nelson Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2006-08-30
1598713935 Anthony J Griess Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2006-05-05
1134177488 David J Watts Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2006-05-05
1871541078 Dermatology Surgery Center PC Dermatology 909 N 96th St, Suite 201, Omaha, NE 68114-2497 2006-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689237356 Jared Nathan Holthaus Optometrist 625 N. 98th St, Omaha, NE 68114 2019-04-18
1346701869 On Site Health and Wellness, LLC Dietitian, Registered 7905 Pacific Street, Omaha, NE 68114 2019-03-27
1801301205 Logan Johnson Specialist/Technologist 8803 Webster Plz, Omaha, NE 68114 2017-12-06
1992224687 Douglas Medical Supplies Durable Medical Equipment & Medical Supplies 7914 W Dodge Rd Ste 916, Omaha, NE 68114 2017-09-13
1023568540 Active Spine Physical Therapy, LLC Clinic/Center 10110 Nicholas St Ste 100, Omaha, NE 68114 2016-10-07
1417400706 Kayla Ann Leddy Counselor 7701 Pacific St Ste 100a, Omaha, NE 68114 2016-08-03
1134561103 Julio Cesar Deleon Iv Counselor 9212 California Plaza #308, Omaha, NE 68114 2013-07-19
1477992261 Nicole Janine Lecci Dentist 8910 Indian Hills Drive, Suite 200, Omaha, NE 68114 2013-06-14
1538504436 Christian Louis Barney Radiology 8303 Dodge St Ste Ll6, Omaha, NE 68114 2013-05-06
1558606665 Nbd Solutions Durable Medical Equipment & Medical Supplies 327 N 78 Street, Omaha, NE 68114 2012-11-29
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518031194 Peter W Hunt Physician Assistant Children's Hospital - Cardiothoracic Surgery, 8200 Dodge Street, Omaha, NE 68114-4113 2006-11-17
1457354789 Jennifer Chavez Physician Assistant 9850 Nicholas St, Ste 250, Omaha, NE 68114-2186 2005-05-31
1184224537 Ashton N Groves Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2020-10-27
1336763879 Makenzie Polacek Physician Assistant 13616 California St Ste 100, Omaha, NE 68154-5336 2020-06-01
1508499054 Samantha Schroeder Physician Assistant 13616 California St Ste 100, Omaha, NE 68154-5336 2020-02-12
1487121034 Kelli D Welch Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2018-10-31
1114405040 Victoria M Alai Physician Assistant 8200 Dodge St, Omaha, NE 68114-4113 2018-08-02
1891202131 Kossi Mawouli Zotoglo Physician Assistant 4101 Woolworth Ave, Omaha, NE 68105-1850 2018-01-09
1710426549 Jessica Cannon Physician Assistant 17030 Lakeside Hills Plz, Suite 200, Omaha, NE 68130-2396 2017-02-13
1952649162 Samantha J. Korth Physician Assistant 16909 Lakeside Hills Ct, #208, Omaha, NE 68130-4664 2013-01-22
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Competitor

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City OMAHA
Zip Code 68114

Improve Information

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Dataset Information

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.

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