JENNIFER D. ROBERTS DO LLC (NPI# 1215255658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215255658 |
| Entity Type | Organization |
| Organization Name | JENNIFER D. ROBERTS DO LLC |
| Practice Address |
1735 27th St Ste 206a Portsmouth OH 45662-0009 |
| Mailing Address |
1611 27th St Fulton Bldg Suite 204 Portsmouth OH 45662-6931 |
| Practice Telephone | 7403533196 |
| Practice Fax Number | 7403531258 |
| Mailing Telephone | 7403533196 |
| Mailing Fax Number | 7403531258 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2019-12-15 |
| Authorized Official Name | JENNIFER DALE ROBERTS (PRESIDENT) |
| Authorized Official Telephone | 7403533196 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100226210 | 05 | |
| OH | 2769811 | 05 | |
| KY | 7100118280 | 05 |
| Street Address |
1735 27TH ST STE 206A |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-0009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225266760 | April L. Mcgill | Obstetrics & Gynecology | 620 John Paul Jones Cir., Department of Obstetrics and Gynecology, Portsmouth, VA 23708 | 2009-06-23 |
| 1104851104 | Maryview Hospital | Obstetrics & Gynecology | 1040 University Blvd Ste 205, Portsmouth, VA 23703-2650 | 2006-07-11 |
| 1679515837 | Albert J Lantinen Jr. | Obstetrics & Gynecology | Harbour Women's Health, 155 Griffin Street, Portsmouth, NH 03801-4125 | 2006-06-12 |
| 1770549024 | Darren Chad Adams | Obstetrics & Gynecology | 1735 27th St Ste 202, Portsmouth, OH 45662-2679 | 2006-04-25 |
| 1841297470 | Triste Marie Coulombe | Obstetrics & Gynecology | 77 Turnpike Ave, Aquidneck Medical Associates, Portsmouth, RI 02871-1419 | 2005-06-28 |
| 1023479821 | Emily Connell Kemner | Obstetrics & Gynecology | Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708 | 2016-03-08 |
| 1972961191 | Kaitlyn Huegel Mayer | Obstetrics & Gynecology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2016-02-02 |
| 1679967350 | Barbara Saber | Obstetrics & Gynecology | 620 John Paul Jones Circle, Naval Medical Center Portsmouth, Portsmouth, VA 23708 | 2015-03-20 |
| 1740690163 | Michelle Ciarlo | Obstetrics & Gynecology | 67 Corporate Drive, Suite 300, Portsmouth, NH 03801 | 2014-05-07 |
| 1689093916 | Charlene Galvez Echague | Obstetrics & Gynecology | 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 | 2014-04-15 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.