DR. KENNETH BARRY ROBERTS (NPI# 1144264946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144264946 |
| Entity Type | Individual |
| Full Name | DR. KENNETH BARRY ROBERTS |
| Credential | MD |
| Practice Address |
1200 N Elm St Greensboro NC 27401-1004 |
| Mailing Address |
Po Box 13605 Greensboro NC 27415-3605 |
| Practice Telephone | 3368328060 |
| Mailing Telephone | 3365471877 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 9701565 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS NC | 1117Q | 01 |
| NC | MEDCOST | 78112 | 01 |
| NC | AETNA | 5782601 | 01 |
| NC | 891117Q | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124678578 | Kenneth Andre Roberts II | Dietitian, Registered | 110 Mascoutah Ave, Belleville, IL 62220-3801 | 2019-09-18 |
| 1801359559 | Kenneth Wayne Roberts | Student in an Organized Health Care Education/Training Program | Aventura Hospital & Medical Center, 20900 Biscayne Blvd, Aventura, FL 33138 | 2019-04-10 |
| 1801157805 | Kenneth James Roberts Jr. | Massage Therapist | 9420 Towne Square Ave, Suite #3, Blue Ash, OH 45242-6922 | 2012-06-06 |
| 1124245006 | Kenneth Wayne Roberts | Dentist | 546 N Lafayette St, South Lyon, MI 48178-2000 | 2007-04-20 |
| 1194890848 | Kenneth C Roberts | Internal Medicine | 400 Veterans, Biloxy, MS 39531 | 2006-11-21 |
| 1598732521 | Kenneth E. Roberts | Family Medicine | 287 Healthwest Dr, Dothan, AL 36303-2031 | 2006-03-08 |
| 1285991620 | Kenneth Latroye Roberts | Counselor | 3435 W Shaw Ave, Ste. 101, Fresno, CA 93711-3234 | 2012-04-23 |
| 1740503556 | Kenneth Lewis Roberts | Counselor | 366 Prior Ave N, Saint Paul, MN 55104-5165 | 2010-03-08 |
| 1740329028 | Kenneth Eugene Roberts | Social Worker | 620 5th Avenue, Fairbanks, AK 99701 | 2007-02-05 |
| 1285748954 | Kenneth M. Roberts | Physician Assistant | 300 Clyde Morris Blvd, Suite C, Ormond Beach, FL 32174-5956 | 2006-08-18 |
| Street Address |
1200 N ELM ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27401-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485346 | Vineet Kumar Gupta | Pediatrics | 1200 N Elm St, Pediatric Critical Care Services, Greensboro, NC 27401-1004 | 2005-05-27 |
| 1114524469 | Jamilla Walker | Registered Nurse | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-10-08 |
| 1770190514 | Sara Elizabeth Early | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1972110708 | Jessica Asaro | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-25 |
| 1316554231 | Amy Jeanette Brown Stephens | Nurse Practitioner | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-09-24 |
| 1588281588 | Christopher Jordan Walston | Pharmacist | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-06-25 |
| 1497378632 | Sadia Aslam | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-22 |
| 1235752825 | Rylee Christian | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1020 | 2020-05-18 |
| 1730701590 | Ellen Jones | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-14 |
| 1508488065 | Steven Craig Winters Jr. | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2020-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779655 | Warfair Counseling, Consulting, & Supervision, Pllc | Counselor | 301 South Elm Street, Suite 801, Greensboro, NC 27401 | 2020-10-28 |
| 1225636848 | Alma Lucero Diaz | Registered Nurse | 1121 North Church St, Greensboro, NC 27401 | 2020-10-15 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1346854304 | Rayna's Home Care, LLC | Registered Nurse | 823 North Elm Street, Greensboro, NC 27401 | 2020-09-06 |
| 1316574718 | Garrett Green | Physician Assistant | 1121 N Church St., Greensboro, NC 27401 | 2020-03-25 |
| 1629635685 | Lauren Robinson Byrd | Anesthesiology | 1200 North Church St, Greensboro, NC 27401 | 2019-05-24 |
| 1285103069 | Shannon Marie Childs Meyerhoff | Occupational Therapist | Guilford County Schools Ec, 134 Franklin Blvd, Greensboro, NC 27401 | 2018-11-21 |
| 1194293241 | Ashley Marie Smith | Nurse Practitioner | 1200 North Elm St, Greensboro, NC 27401 | 2018-11-07 |
| 1285117762 | Anastazia Juszczak Gray | Speech-Language Pathologist | 1131 N. Church St, Greensboro, NC 27401 | 2018-09-11 |
| 1619474012 | Jamie Hannah Rose Aldridge | Psychiatry & Neurology | 1121 N Church Street, Greensboro, NC 27401 | 2018-04-11 |
| Find all providers in zip 27401 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710484811 | The Moses H Cone Memorial Hospital Operating Corporation | Pediatrics | 201 S Greene St, Greensboro, NC 27401 | 2018-04-06 |
| 1063732055 | Brooktiete Asseres | Pediatrics | 4089 Battleground Ave, Greensboro, NC 27410-8410 | 2010-06-02 |
| 1134303308 | Mdfamily Medical Group | Pediatrics | 631b South Elm Street, Greensboro, NC 27406 | 2007-12-24 |
| 1528241049 | Mdfamily Medical Group | Pediatrics | 2400 Freeman Mill Rd, Greensboro, NC 27406-3912 | 2007-12-06 |
| 1780876904 | Eugene M Simpson Jr. | Pediatrics | 5322 Perrou Ct, Greensboro, NC 27410-2696 | 2007-08-12 |
| 1720296627 | Jennifer E Mccord | Pediatrics | 4 Rockport Ct, Greensboro, NC 27406-8773 | 2007-05-21 |
| 1578600227 | David J Henderson | Pediatrics | 2507 Battleground Ave, Suite B, Greensboro, NC 27408-4003 | 2007-01-31 |
| 1336296698 | Northwest Pediatrics Inc | Pediatrics | 4529 Jessup Grove Road, Greensboro, NC 27410 | 2007-01-05 |
| 1114096641 | Alan W. Cooper | Pediatrics | 2707 Henry Street, Greensboro, NC 27405-3669 | 2006-11-07 |
| 1619055548 | Aveline Quinlan | Pediatrics | 5409 W Friendly Ave, Greensboro, NC 27410-4209 | 2006-11-01 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27401 |
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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.