DR. EDWIN P ROBERTS (NPI# 1386648376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386648376 |
| Entity Type | Individual |
| Full Name | DR. EDWIN P ROBERTS |
| Credential | D.C. |
| Practice Address |
730 N New Warrington Rd Pensacola FL 32506-4247 |
| Mailing Address |
4469 Mobile Hwy Ste D Pensacola FL 32506-7100 |
| Practice Telephone | 8504564788 |
| Practice Fax Number | 8504566066 |
| Mailing Telephone | 8504581061 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH0004495 | FL | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | 350019604 | 01 |
| FL | 050443200 | 05 | |
| FL | AETNA INSURANCE | 5609005 | 01 |
| FL | MEDICARE PTAN | 70309Z | 01 |
| FL | BLUE SHIELD OF FLORIDA | 70309 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275703027 | Edwin Brooks Roberts | Chiropractor | 3960 W Navy Blvd Ste 17, Pensacola, FL 32507-1268 | 2008-03-07 |
| 1245624881 | Edwin John Raymond Roberts | Family Medicine | 1223 Gateway Dr Ste 1b, Melbourne, FL 32901 | 2015-03-21 |
| Street Address |
730 N NEW WARRINGTON RD |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32506-4247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518402387 | Vanessa Phelps | Nurse Practitioner | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2017-01-03 |
| 1538594262 | Northwest Florida Physicians Group, LLC | Family Medicine | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2013-09-12 |
| 1255772455 | Rebecca Jill Whisenant | Massage Therapist | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2013-07-16 |
| 1285981175 | Marie Ann Goldstein | Specialist | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2012-08-09 |
| 1972733244 | Jeffrey Thomas Noon | Chiropractor | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2009-07-21 |
| 1982898755 | Roberts Chiropractic Center Inc | Chiropractor | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2007-09-05 |
| 1588668552 | Thomas A Roberts | Chiropractor | 730 N New Warrington Rd, Pensacola, FL 32506-4247 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093332942 | Abigail Irene Dudek | Behavior Technician | 6800 West Us-98, Pensacola, FL 32506 | 2020-06-26 |
| 1053957274 | Melissa Marie Swango | Technician | 3 Usher Cir, Pensacola, FL 32506 | 2019-11-22 |
| 1215479506 | Kerry Jo Pham | Advanced Practice Midwife | 225 N New Warrington Rd, Pensacola, FL 32506 | 2016-11-17 |
| 1750761375 | Congleton Eye Care, LLC | Optometrist | 4600 Mobile Hwy, Suite 122, Pensacola, FL 32506 | 2015-06-09 |
| 1033312293 | Rogelio Tridanio Martinez Sr. | Pain Medicine | 4806 Mobile Highway, Suite D, Pensacola, FL 32506 | 2007-06-06 |
| 1215023726 | Martha Goff | Pharmacist | 50 S. Blue Angel Parkway, Pensacola, FL 32506 | 2006-10-04 |
| 1881703635 | John Daniel Hodge | Dentist | 4800 W Fairfield Dr, Pensacola, FL 32506 | 2006-08-29 |
| 1417066275 | Fairfield Dental Center | Dentist | 4800 W. Fairfield Drive, Pensacola, FL 32506 | 2006-08-29 |
| 1942277793 | Phillip Martine Drlicka | Dentist | 901 N Warrington Rd, Pensocola, FL 32506 | 2006-03-01 |
| 1083694186 | Lester Shawn Bowling | Internal Medicine | 321 South Fairfield Dr, Pensacola, FL 32506 | 2006-01-17 |
| Find all providers in zip 32506 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869056 | Wellness Way Pensacola LLC | Chiropractor | 810 Scenic Hwy Ste A, Pensacola, FL 32503-6866 | 2020-04-03 |
| 1376180604 | Vladimir Djuric | Chiropractor | 12960 Lillian Hwy, Pensacola, FL 32506-8423 | 2019-12-05 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1821569146 | Robert Dominic Corvino II | Chiropractor | 4300 Bayou Blvd Ste 31a, Pensacola, FL 32503-1949 | 2018-12-14 |
| 1992280309 | Gabriel Waterman | Chiropractor | 600 University Office Blvd Ste 14, Pensacola, FL 32504-6247 | 2018-10-02 |
| 1538604509 | East Hill Medical Group | Chiropractor | 99 S Alcaniz St Ste B, Pensacola, FL 32502-8002 | 2016-12-30 |
| 1881017838 | Advanced Family Chiropractic of Pensacola | Chiropractor | 2901 E Cervantes St, Ste B, Pensacola, FL 32503-6418 | 2014-01-28 |
| 1013346428 | Comprehensive Pain Services Pllc | Chiropractor | 698 Brent Ln, Pensacola, FL 32503-2104 | 2013-11-06 |
| 1669719589 | Robert Thomson Jr. | Chiropractor | 280 N Palafox St, Pensacola, FL 32502-4841 | 2013-01-11 |
| 1669727350 | Dr. Edwin Roberts Chiropractic, Plc | Chiropractor | 4469 Mobile Hwy, Pensacola, FL 32506-8241 | 2012-07-18 |
| Find all providers in PENSACOLA | ||||
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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.