DR. NATHAN L ROBERTS (NPI# 1225089626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225089626 |
| Entity Type | Individual |
| Full Name | DR. NATHAN L ROBERTS |
| Credential | MD |
| Practice Address |
301 E. Southline Road Tuscola IL 61953 |
| Mailing Address |
611 W. Park St. Bwpc Urbana IL 61801-2500 |
| Practice Telephone | 2172535231 |
| Practice Fax Number | 2172534082 |
| Mailing Telephone | 2173836792 |
| Mailing Fax Number | 2172534082 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036104517 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036104517 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821455056 | Nathan Thomas Roberts | Specialist/Technologist | 501 W Laurel Ave, Pen Argyl, PA 18072-1052 | 2016-01-19 |
| 1598079873 | Nathan Bryan Roberts | Chiropractor | 125 W Monroe St, Bangor, MI 49013-1332 | 2010-07-29 |
| 1811519556 | Nathan Roberts | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Dr., B1-380 Taubman Center, Ann Arbor, MI 48109-5305 | 2020-05-15 |
| 1629533880 | Nathan Roberts | Behavior Technician | 5943 Stadium Dr, Kalamazoo, MI 49009-3016 | 2019-02-01 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1487172813 | Nathan Roberts | Student in an Organized Health Care Education/Training Program | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2017-09-06 |
| 1841728110 | Nathan Lee Roberts | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2017-05-31 |
| 1871955427 | Nathan Roberts | Emergency Medicine | 400 S Santa Fe Ave, Salina, KS 67401 | 2016-03-23 |
| 1972884757 | Nathan J Roberts | Surgery | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2011-09-07 |
| 1942526165 | Nathan Roberts | Urology | 19415 Deerfield Ave, Suite 112, Lansdowne, VA 20176-8452 | 2010-04-13 |
| Street Address |
301 E. SOUTHLINE ROAD |
| City | TUSCOLA |
| State | IL |
| Zip Code | 61953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487892865 | Swarnalatha Jaliparthi | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2009-01-23 |
| 1295834901 | Sally J Salmons | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336545581 | Paul H. Byron | Hearing Instrument Specialist | 602 E. Southline Road, Audibel Hearing Aids, Tuscola, IL 61953 | 2014-11-17 |
| 1679851232 | Beth Ann Wiessing | Speech-Language Pathologist | 1601 East County Road 850 North, Tuscola, IL 61953 | 2011-08-01 |
| 1538356480 | Bart M Tate | Physical Therapist | 301 East Southline Rd, Tuscola, IL 61953 | 2007-09-25 |
| 1972724979 | Kimberly B Whitaker | Family Medicine | 1100 Tuscola Blvd, Sbl Tuscola Clinic, Tuscola, IL 61953 | 2007-05-01 |
| 1396856688 | Tuscola Pain & Wellness Center Sc | Chiropractor | 902 S Court Suite 2, Tuscola, IL 61953 | 2006-08-31 |
| 1326008137 | Jamison T Boyd | Optometrist | 902 S Court St, Suite #1, Tuscola, IL 61953 | 2006-03-24 |
| 1629405907 | Ashley K Tennill | Nurse Practitioner | 1100 Tuscola Blvd, Sbl Tuscola Walk In Clinic, Tuscola, IL 61953 | 2013-10-02 |
| 1013144518 | Douglas County Mental Health and Family Counseling Assoc. Inc. | Counselor | 301 S. Washington St, Tuscola, IL 61953-0000 | 2009-06-11 |
| 1871957092 | First Step Home Sleep Testing Inc. | Clinic/Center | 704 N Main St, Tuscola, IL 61953-1000 | 2016-04-13 |
| 1952462749 | Richard D Davidson | Dentist | 703 N Niles Ave, Tuscola, IL 61953-1059 | 2006-12-13 |
| Find all providers in zip 61953 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972724979 | Kimberly B Whitaker | Family Medicine | 1100 Tuscola Blvd, Sbl Tuscola Clinic, Tuscola, IL 61953 | 2007-05-01 |
| 1043751134 | Sarah Bush Lincoln Health Center | Family Medicine | 1100 Tuscola Blvd, Tuscola, IL 61953-2065 | 2017-03-09 |
| 1801336185 | Sarah Bush Lincoln Health Center | Family Medicine | 1100 Tuscola Blvd, Tuscola, IL 61953-2065 | 2017-03-06 |
| 1336464957 | Carle Health Care Incorporated | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2010-04-07 |
| 1487892865 | Swarnalatha Jaliparthi | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2009-01-23 |
| 1528260908 | Issac Lee | Family Medicine | 300 N Main St, Tuscola, IL 61953-1406 | 2007-06-05 |
| 1295855088 | Carle Clinic Association, PC | Family Medicine | 301 E Southline Rd, Tuscola, IL 61953-2014 | 2007-03-29 |
| 1295834901 | Sally J Salmons | Family Medicine | 301 E. Southline Road, Tuscola, IL 61953 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558969964 | Nicole Kerner | Family Medicine | 310 Brandy Dr, Mackinaw, IL 61755-9707 | 2020-10-16 |
| 1285232991 | Healthy Medical Inc | Family Medicine | 535 N. East St., Suite A, Bradley, IL 60915 | 2020-10-14 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1790390805 | Kimberly Hannah Kupferberg | Family Medicine | 1103 Schaeffer Rd, Long Grove, IL 60047-5153 | 2020-09-15 |
| 1194330977 | Home Doctors for You | Family Medicine | 670 Illinois Blvd, Hoffman Est, IL 60169-3363 | 2020-09-09 |
| 1245844489 | Jovita Zalwango Nassolo | Family Medicine | 116 1/2 N Benton St Apt 2d, Woodstock, IL 60098-3272 | 2020-09-04 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1417565755 | Ghr Total Health and Consulting | Family Medicine | 11336 Mckenna Dr, Frankfort, IL 60423-8096 | 2020-07-22 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 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.