STANLEY DWAYNE ROBERTS


Address: 118 N Main St, Ste B, Salem, UT 84653-5698
Phone: 8014779007

STANLEY DWAYNE ROBERTS (NPI# 1316993520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316993520
Entity Type Individual
Full Name STANLEY DWAYNE ROBERTS
Credential MD
Practice Address 118 N Main St
Ste B
Salem
UT 84653-5698
Mailing Address Po Box 10
Spanish Fork
UT 84660-0010
Practice Telephone 8014779007
Mailing Telephone 8668987136
Mailing Fax Number 6169759824
Enumeration Date 2006-05-26
Last Update Date 2012-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
276489 UT Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
276489-1205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT SELECT HEALTH 107018542102 01
BCBS 52892628603001 01
UT DESERET MUTUAL 174069 01
RAILROAD MEDICARE P00221212 01
UT D1423 05
UT PEHP 87148 01

Other Providers STANLEY ROBERTS

NPI Name Taxonomy Address Enumeration
1922047414 Stanley L. Roberts Physician Assistant 510 Melton Hill Dr, Clinton, TN 37716-7107 2006-06-06
1972509107 Stanley K Roberts Family Medicine 6914 Nottingham Ln, Bettendorf, IA 52722-9705 2005-06-22
1891285284 Stanley Lewis Roberts Social Worker 7162 Reading Rd Ste 900, Cincinnati, OH 45237-3879 2018-05-11
1124058961 Stanley Alan Roberts Dentist 10 Kirtland St, Lynn, MA 01905-1821 2006-07-04

Office Location

Street Address 118 N MAIN ST
STE B
City SALEM
State UT
Zip Code 84653-5698

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740679430 Kristin Van Tassell Nurse Practitioner 118 N Main St, Suite B, Salem, UT 84653-5698 2015-01-18
1770723306 Salem Hills Pharmacy Inc Pharmacy 118 N Main St, Salem, UT 84653-5698 2009-02-23
1992990311 Chad Allen Parrish Physician Assistant 118 N Main St, Ste B, Salem, UT 84653-5698 2007-09-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487008603 Douglas Robert Clark Optometrist 446 N State Road 198, Salem, UT 84653 2016-04-14
1811357791 Melanie Pace Dental Hygienist 818 East 750 South, Salem, UT 84653 2016-03-04
1265773899 Bill Clifford Marshall Marriage & Family Therapist 405 S Maple Dr, Woodland Hills, UT 84653 2013-03-06
1013159995 Elder Assisted Living LLC Assisted Living Facility 1015 S 550 W, Salem, UT 84653 2009-03-24
1780884247 David Kent Hansen Dentist 204 East 400 North, Suite A, Salem, UT 84653 2007-07-23
1154524965 Justin Thomas Perry Dentist 40 South 200 West, Salem, UT 84653 2007-06-08
1013130947 John E Braithwaite Dentist 40 S 200 W, Salem, UT 84653 2007-04-10
1104972827 Salem City Corporation Ambulance 30 W 100 S, Salem, UT 84653 2007-01-26
1700989209 James Bryan Bonny Dentist 245 W State Hwy 198, Suite 6, Salem, UT 84653 2006-09-07
1578574570 Kids Who Count Day Training, Developmentally Disabled Services 345 N Sr 198, Salem, UT 84653 2006-08-11
Find all providers in zip 84653

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548237993 Delmas J Bolin Family Medicine 25 W Calhoun St, Salem, VA 24153-3836 2006-03-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053702431 Weber State University Family Medicine 1001 University Cir, Ogden, UT 84408-5525 2015-02-06
1720169915 Stuart Eliot Willick Family Medicine 1493 Lowell Ave, Park City, UT 84060 2006-10-17
1043210248 Trek Lyons Family Medicine 1300 N 500 E, Suite 130, Logan, UT 84341-2408 2005-07-28
1316323165 Dixie State University Family Medicine 225 S 700 E, St George, UT 84770-3875 2015-08-04
1285013987 Sportsmed Associates LLC Family Medicine 3401 N Center St, Ste 100, Lehi, UT 84043-7497 2015-05-27
1164826665 University of Utah Adult Services Family Medicine 555 Foothill Dr, Salt Lake City, UT 84112-1106 2014-10-14
1164860573 Brett Wayne Martindale Family Medicine 4700 Harrison Blvd, Ogden, UT 84403-4303 2013-06-07
1053631069 Tye Harrison Family Medicine 1350 N 500 E, Logan, UT 84341-2400 2010-06-02
1720303837 Nicholas E Monson Family Medicine 2132 N 1700 W, 230, Layton, UT 84041-7057 2010-03-31
1346478476 Ryan Albert Slater Family Medicine 1184 E 80 N, American Fork, UT 84003-2906 2009-06-26
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City SALEM
Zip Code 84653

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Dataset Information

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.

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