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).
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 |
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 |
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 |
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 |
Street Address |
118 N MAIN ST STE B |
City | SALEM |
State | UT |
Zip Code | 84653-5698 |
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 |
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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548237993 | Delmas J Bolin | Family Medicine | 25 W Calhoun St, Salem, VA 24153-3836 | 2006-03-03 |
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 |
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.