DR. ROBERT JAY AULT (NPI# 1194344580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194344580 |
| Entity Type | Individual |
| Full Name | DR. ROBERT JAY AULT |
| Credential | DDS |
| Practice Address |
11358 Oakwood Dr Jerome MI 49249-9804 |
| Practice Telephone | 5178994762 |
| Mailing Telephone | 5178994762 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2901600453APP20 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568674042 | Robert James Ault | Chiropractor | 130 W Streetsboro St Ste 2, Hudson, OH 44236-2757 | 2007-05-04 |
| 1508133141 | Robert Carl Ault | Pharmacist | 1308 W Walnut Ave, Dalton, GA 30720-3827 | 2011-11-28 |
| Street Address |
11358 OAKWOOD DR |
| City | JEROME |
| State | MI |
| Zip Code | 49249-9804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194093500 | Alhambra St. Francis Camp On The Lake | Respite Care | 10120 Murrey Rd, Jerome, MI 49249-9534 | 2011-12-13 |
| 1457609489 | Charles I Hicks | Pharmacist | 9807 Beachvie Dr, Jerome, MI 49249-9551 | 2012-08-23 |
| 1487648374 | Pine Trees Medical Office PC | Internal Medicine | 11610 Waldron Rd, Jerome, MI 49249-9637 | 2005-09-07 |
| 1669844106 | Crystal Lynn Schell | Licensed Practical Nurse | 11218 Glenview Dr, Jerome, MI 49249-9669 | 2015-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336709 | Family Health Services Pharmacy | Pharmacy | 218 W. Nez Perce, Jerome, ID 83338 | 2020-11-03 |
| 1487255881 | Gerlyn Danette Walker | Counselor | 414 N Lincoln Ave Ste 1, Jerome, ID 83338-2300 | 2020-11-03 |
| 1376160457 | North Canyon Jerome Clinic | Clinic/Center | 491 Heritage Dr, Jerome, ID 83338-6701 | 2020-07-06 |
| 1780218404 | Embrace Life Recovery Center | Acupuncturist | 154 1st Ave W, Jerome, ID 83338-2326 | 2020-03-03 |
| 1487218814 | Logan Perkins | Family Medicine | 132 5th Ave W Ste 2, Jerome, ID 83338-1825 | 2019-05-01 |
| 1386129674 | Tonya Lynn Jacob | Counselor | 413 W 285 S, Jerome, ID 83338-5517 | 2018-10-02 |
| 1548718257 | Wendy Sedano | Social Worker | 301 W 325 S, Jerome, ID 83338-5939 | 2016-09-12 |
| 1669844106 | Crystal Lynn Schell | Licensed Practical Nurse | 11218 Glenview Dr, Jerome, MI 49249-9669 | 2015-10-23 |
| 1346619392 | James E Payton | Pharmacist | 77 Horseshoe Cir, Jerome, ID 83338-5989 | 2015-09-21 |
| 1275913451 | Rachel Kaschmitter | Social Worker | 215 W Yakima, Jerome, ID 83338-6157 | 2015-06-03 |
| Find all providers in JEROME | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144516733 | Newell Tyler Elison | Dentist | 1555 S Lincoln Ave, Jerome, ID 83338-6136 | 2011-06-22 |
| 1689844219 | William H Lloyd | Dentist | 119 Country Ln, Jerome, ID 83338-6147 | 2008-03-11 |
| 1295898310 | Ronald Gail Hendrickson | Dentist | 128 South Adams, Jerome, ID 83338 | 2006-12-19 |
| 1104229913 | Tdcjerome Pllc | Dentist | 119 Country Ln, Jerome, ID 83338-6147 | 2014-10-07 |
| 1568809853 | Robert William Hale | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2013-05-28 |
| 1568725703 | Jeffrey Ryan Palmer | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2012-06-22 |
| 1265698039 | Samuel C Page | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2008-07-31 |
| 1760494249 | Canyon Falls Dental P.l.l.c. | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-08-12 |
| 1801806641 | Mckay D Barlow | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-08-08 |
| 1245295302 | David Matthew Bond | Dentist | 143 E Main St, Jerome, ID 83338-2332 | 2006-04-19 |
| Find all providers in JEROME | ||||
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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.