DR. MARK A ROBERTS (NPI# 1275565442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275565442 |
| Entity Type | Individual |
| Full Name | DR. MARK A ROBERTS |
| Credential | MD |
| Practice Address |
106 Edwina Street Evergreen AL 36401 |
| Practice Telephone | 2515784300 |
| Practice Fax Number | 2515784307 |
| Mailing Telephone | 2515784300 |
| Mailing Fax Number | 2515784307 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 15010 | AL | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
PM.282 | AL | Allopathic & Osteopathic Physicians |
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
15010 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 051558849 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677881 | Mark A Roberts | Preventive Medicine | 10552 N Watts Springs Park Rd, Edgerton, WI 53534-8947 | 2018-04-24 |
| 1164943551 | Mark Roberts | Physical Therapist | 3710 168th St Ne Ste A102, Arlington, WA 98223-8462 | 2017-07-06 |
| 1588094825 | Mark Roberts | Licensed Practical Nurse | 209 Carters Grove Rd, Centerville, OH 45459-2509 | 2013-11-23 |
| 1982899696 | Mark Charles Roberts | Dentist | 6025 Warner Ave, Huntington Beach, CA 92649 | 2007-09-06 |
| 1225194343 | Mark Roberts | Marriage & Family Therapist | 405 E 73rd St, New York, NY 10021-3865 | 2007-01-01 |
| 1255402046 | Mark W. Roberts | Chiropractor | 345 E 500 S, Bountiful, UT 84010-4924 | 2006-11-13 |
| 1689767691 | Mark A. Roberts | Family Medicine | 1240 81st Street South, St. Petersburg, FL 33707 | 2006-10-02 |
| 1922021435 | Mark Austin Roberts | Dentist | 210 Crestway St, Suite 106, Athens, TX 75751-2135 | 2006-07-25 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| 1710968052 | Mark Allen Roberts | Chiropractor | 1404 W Frank Ave, Lufkin, TX 75904-3306 | 2005-11-11 |
| Street Address |
106 EDWINA STREET |
| City | EVERGREEN |
| State | AL |
| Zip Code | 36401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063918118 | Jessica Roberts Pierce | Nurse Practitioner | 106 Edwina Street, Evergreen, AL 36401 | 2018-04-05 |
| 1952466211 | Mark A Roberts Md PC | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437347572 | Elizabeth L Godwin | Counselor | 101 Perryman Street Hwy 31, Compass Academy, Evergreen, AL 36401 | 2007-10-12 |
| 1679691661 | Floyd Michael Cartwright | Dentist | 122 Court Street, Evergreen, AL 36401 | 2007-03-27 |
| 1467526038 | Evergreen Dental Center | Dentist | 100 Edwina Street, Evergreen, AL 36401 | 2006-11-17 |
| 1134141229 | Michael L Pitts | Physical Therapist | 124 Edwina St, Evergreen, AL 36401 | 2006-07-24 |
| 1881677581 | Evergreen Medical Center LLC | Registered Nurse | 308 South Main St, Evergreen, AL 36401 | 2005-11-28 |
| 1962535112 | Douglas Patrick O'connor | Dentist | 104 Hillcrest Dr, Evergreen, AL 36401 | 2007-03-14 |
| 1659540086 | State of Alabama | Public Health or Welfare | Highway 83 and I-65, Evergreen, AL 36401-0565 | 2008-02-29 |
| 1114447604 | Conecuh County Health Dept Std | Public Health or Welfare | 102 Wild Ave, Evergreen, AL 36401-2134 | 2017-06-26 |
| 1518271790 | Dialysis Clinic Inc. | Clinic/Center | 822 Wild Ave., Evergreen, AL 36401-2545 | 2010-07-30 |
| 1316027089 | State of Alabama Department of Public Health | Home Health | 811 Liberty Hill Dr, Evergreen, AL 36401-2648 | 2006-10-17 |
| Find all providers in zip 36401 | ||||
| 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 |
|---|---|---|---|---|
| 1467064964 | Catholic Health Initiatives Colorado | Family Medicine | 32214 Ellingwood Trl Ste 210, Evergreen, CO 80439-9719 | 2020-08-18 |
| 1487262481 | New West Physicians, P.C. | Family Medicine | 30940 Stagecoach Blvd Ste E290, Evergreen, CO 80439-7783 | 2020-07-16 |
| 1396060216 | Nicole Alyssa Rowe | Family Medicine | 28267 Highway 74, Evergreen, CO 80439-7553 | 2010-04-03 |
| 1063736692 | Kathie Elizabeth Mcalpine | Family Medicine | 30953 Ruby Ranch Rd, Evergreen, CO 80439-7842 | 2010-03-25 |
| 1568668853 | Kimberly Erin Bentrott | Family Medicine | 32214 Ellingwood Trl, Ste 210, Evergreen, CO 80439-9779 | 2007-06-22 |
| 1447319314 | Evergreen Meadows Family Medical Center | Family Medicine | 28000 Meadow Drive, Suite 206, Evergreen, CO 80439 | 2006-12-07 |
| 1225103443 | James D Hutcherson | Family Medicine | 28000 Meadow Dr Unit 210, Evergreen, CO 80439-2116 | 2006-11-22 |
| 1942229505 | Michael K Park | Family Medicine | 3445 Woody Crk, Evergreen, CO 80439-7996 | 2006-07-18 |
| 1225056260 | Rik Santaguida | Family Medicine | 3951 Evergreen Parkway, Evergreen, CO 80439 | 2006-07-17 |
| 1962420901 | Kristen L Gonzales | Family Medicine | 32135 Castle Ct Ste 101, Evergreen, CO 80439 | 2006-07-17 |
| Find all providers in EVERGREEN | ||||
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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.