ERIC N ROBERTS (NPI# 1336576677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336576677 |
| Entity Type | Individual |
| Full Name | ERIC N ROBERTS |
| Credential | PAC |
| Practice Address |
101 Chad St Clover Fork Clinic Evarts KY 40828-8200 |
| Mailing Address |
101 Chad St Evarts KY 40828-8200 |
| Practice Telephone | 6068372108 |
| Practice Fax Number | 6068379389 |
| Mailing Telephone | 6068372108 |
| Mailing Fax Number | 6068379389 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2015-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100273510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962630004 | Eric Justin Roberts | Podiatrist | 2191 9th Ave N Ste 150, St Petersburg, FL 33713-7146 | 2009-06-28 |
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1255375291 | Eric Deloy Roberts | Physical Therapist | 185 Pevero Dr, Idaho Falls, ID 83401-6318 | 2006-06-16 |
| 1205296613 | Eric D Roberts | Physician Assistant | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2016-02-26 |
| 1740665603 | Eric Roberts | Pharmacist | 111 N Bowman Rd, Little Rock, AR 72211-2783 | 2015-07-21 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1508154758 | Eric Steve Roberts | Pharmacist | 4141 Ne Stephens St, Roseburg, OR 97470-1161 | 2011-07-20 |
| 1912210105 | Eric Wayne Roberts | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Anesthesia Department, Tyler, TX 75701-1908 | 2010-07-16 |
| 1982921748 | Eric Edward Roberts | Surgery | 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 | 2010-05-03 |
| 1407010879 | Eric G Roberts | Internal Medicine | 2900 W Oklahoma Ave, 4th Floor Galleria, Milwaukee, WI 53215 | 2008-07-15 |
| Street Address |
101 CHAD ST CLOVER FORK CLINIC |
| City | EVARTS |
| State | KY |
| Zip Code | 40828-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174520498 | Johnny Lee Mcgill | Pharmacist | 101 Chad St, Evarts, KY 40828 | 2005-07-01 |
| 1376565226 | Clover Fork Outpatient Medical Project Inc | Durable Medical Equipment & Medical Supplies | 101 Chad St, Evarts, KY 40828 | 2006-07-23 |
| 1700810314 | Rachel R Eubank | Family Medicine | 101 Chad St, Cloverfork Clinic, Evarts, KY 40828-0039 | 2006-07-10 |
| 1619901220 | John D Miller | Internal Medicine | 101 Chad St, Cloverfork Clinic, Evarts, KY 40828-0039 | 2006-07-10 |
| 1245264852 | Sharon M Colton | Family Medicine | 101 Chad St, Cloverfork Clinic, Evarts, KY 40828-0039 | 2006-07-10 |
| 1164466066 | Michael W Napier | Physician Assistant | 101 Chad St, Cloverfork Clinic, Evarts, KY 40828-0039 | 2006-06-15 |
| 1811939366 | Clover Fork Outpatient Medical Project Inc | Clinic/Center | 101 Chad St, Clover Fork Clinic, Evarts, KY 40828-8200 | 2006-06-11 |
| 1720070089 | William Morgan Miller | Physician Assistant | 101 Chad St, Evarts, KY 40828-0039 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730224288 | Cumberland Valley Dist. Health Dept. | Public Health or Welfare | 138 Yocum Street, Evarts, KY 40828 | 2007-02-21 |
| 1316089337 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 115 Yocum Street, Evarts, KY 40828 | 2007-02-13 |
| 1043852106 | Melanie Buchanan-manning | Pharmacy Technician | 129 S Main St, Evarts, KY 40828 | 2019-10-10 |
| 1427351261 | Lori L Shope | Dietitian, Registered | 101 Chad Street, Evarts, KY 40828-0039 | 2010-12-17 |
| 1609971969 | Mia R Sellars | Dentist | Clover Fork Clinic, 101 Chad St, Evarts, KY 40828-0039 | 2006-09-13 |
| 1104262104 | Harlan County Health Department/evarts Elementary School | Public Health or Welfare | 132 Keister St, Evarts, KY 40828-5908 | 2013-05-16 |
| 1124583331 | Barbara Kaye Middleton | Nurse Practitioner | 118 Howard St, Evarts, KY 40828-5936 | 2019-02-01 |
| 1073962874 | My Time Counseling Services for Professionals, P.l.l.c. | Preferred Provider Organization | 383 Sals Branch Rd, Evarts, KY 40828-6484 | 2016-06-13 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164466066 | Michael W Napier | Physician Assistant | 101 Chad St, Cloverfork Clinic, Evarts, KY 40828-0039 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
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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.