MARK R ROBERTS (NPI# 1386740843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386740843 |
| Entity Type | Individual |
| Full Name | MARK R ROBERTS |
| Credential | DO |
| Practice Address |
1500 Curve Crest Blvd W Stillwater MN 55082-6040 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6514391234 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 57061 | MN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 43835 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43495500 | 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 |
| 1275565442 | Mark A Roberts | Family Medicine | 106 Edwina Street, Evergreen, AL 36401 | 2006-07-07 |
| 1497711105 | Mark D Roberts | Physician Assistant | 1201 Hewitt Dr Ste 203, Waco, TX 76712-8834 | 2006-04-21 |
| Street Address |
1500 CURVE CREST BLVD W |
| City | STILLWATER |
| State | MN |
| Zip Code | 55082-6040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951021 | Thomas L Zurbriggen | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2005-06-10 |
| 1619502168 | Jjel,llc | Pharmacy | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2020-03-05 |
| 1689232183 | Kaytlin Hanson | Speech-Language Pathologist | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2019-05-31 |
| 1891278347 | Jennifer Lynn Brakke | Nurse Practitioner | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-09-11 |
| 1598246704 | Jennifer Burandt | Speech-Language Pathologist | 1500 Curve Crest Blvd W, Stillwater, MN 55082 | 2018-08-25 |
| 1083194211 | Sarah Grace Kirvida | Occupational Therapist | 1500 Curve Crest Blvd W, Stillwater, MN 55082 | 2018-08-16 |
| 1578040127 | Emily Marie Donahue | Physical Therapist | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-07-26 |
| 1003311457 | Park Nicollet Health Care Products | Durable Medical Equipment & Medical Supplies | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2018-03-28 |
| 1841711298 | Joanna Beth Hanlon | Registered Nurse | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2017-07-06 |
| 1871029116 | David Carl Hess | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947455 | Lucas William Schmidt | Optometrist | 2950 Curve Crest Blvd, Stillwater, Stillwater, MN 55082 | 2020-06-23 |
| 1982238085 | Jerald Haley | Technician | 924 6th Ave. S., Stillwater, MN 55082 | 2020-02-27 |
| 1801457387 | Sun Trad Chin Acu Mn LLC | Acupuncturist | Compass Center for Healing, 116 Chestnut St. E., Stillwater, MN 55082 | 2019-06-25 |
| 1598243990 | Carlson Distinctive Dentistry, Pllc | Dentist | 1701 Curve Crest Blvd W Ste 100, Stillwater, MN 55082 | 2018-07-30 |
| 1073001624 | Lindsay Beth Briggs | Chiropractor | 200 Chestnut St E, Ste 202, Stillwater, MN 55082 | 2018-04-30 |
| 1578932943 | Group Health Plan, Inc | Family Medicine | 921 Greeley Street, Stillwater, MN 55082 | 2015-09-16 |
| 1184001919 | Grant Rohrig | Specialist/Technologist | 8727 Jeffrey Ave North, Stillwater, MN 55082 | 2015-04-30 |
| 1346688991 | Kellie Ann Seth | Chiropractor | 200 Chestnut St E Ste 202, Stillwater, MN 55082 | 2013-06-05 |
| 1770928426 | Rivertown Animal Hospital | Veterinarian | 135 New England Place, Stillwater, MN 55082 | 2013-05-08 |
| 1285929265 | Healtheast Medical Research Institute | Dietitian, Registered | 2900 Curve Crest Blvd, Stillwater, MN 55082 | 2011-06-17 |
| Find all providers in zip 55082 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578870887 | David Plocher | Internal Medicine | 101 Olive St E, Apt 4, Stillwater, MN 55082-4990 | 2010-09-08 |
| 1194767327 | Jennifer Gail Gallaway | Internal Medicine | 821 S Pine St, Stillwater, OK 74074-4350 | 2006-06-12 |
| 1144295429 | Michael Warren Strange | Internal Medicine | 1202 W Farm Rd, Stillwater, OK 74078-2000 | 2006-02-21 |
| 1538142518 | Donald Walter Theisen Wessel | Internal Medicine | 1500 Curve Crest Blvd., Stillwater Medical Group, Stillwater, MN 55082-6040 | 2005-11-23 |
| 1801889373 | Gilbert Edward Emde | Internal Medicine | 1815 W 6th Ave, Stillwater, OK 74074-4202 | 2005-08-30 |
| 1578556171 | Cathy Nieman | Internal Medicine | 821 S Walnut St, Stillwater, OK 74074-4226 | 2005-08-30 |
| 1528068426 | John David Williams | Internal Medicine | 608 S Hester St, Stillwater, OK 74074-4516 | 2005-07-21 |
| 1417951021 | Thomas L Zurbriggen | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2005-06-10 |
| 1871029116 | David Carl Hess | Internal Medicine | 1500 Curve Crest Blvd W, Stillwater, MN 55082-6040 | 2017-05-05 |
| 1770954034 | Seton Health System, Inc. | Internal Medicine | 1111 Hudson Ave, Stillwater, NY 12170-3439 | 2015-10-13 |
| Find all providers in STILLWATER | ||||
| City | STILLWATER |
| Zip Code | 55082 |
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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.