SAMUEL K ROBERTS MD PC (NPI# 1457333403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457333403 |
| Entity Type | Organization |
| Organization Name | SAMUEL K ROBERTS MD PC |
| Practice Address |
1200 Harrison Ave Ste 121 Elkins WV 26241-3394 |
| Practice Telephone | 3046366131 |
| Practice Fax Number | 3046375203 |
| Mailing Telephone | 3046366131 |
| Mailing Fax Number | 3046375203 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | SAMUEL KUMP ROBERTS (OWNER MD) |
| Authorized Official Telephone | 3046366131 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0055757000 | 05 |
| Street Address |
1200 HARRISON AVE STE 121 |
| City | ELKINS |
| State | WV |
| Zip Code | 26241-3394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548467608 | Scott Murphy Felton | Massage Therapist | 1200 Harrison Ave, Suite G20, Elkins, WV 26241-3394 | 2007-06-29 |
| 1710191671 | Buckhannon Medical Rehabilitation and Massage Therapy | Clinic/Center | 1200 Harrison Ave, Suite G20, Elkins, WV 26241-3394 | 2007-05-10 |
| 1225177504 | Nicholas Joel Baker | Physician Assistant | 1200 Harrison Ave, Elkins, WV 26241-3394 | 2007-02-05 |
| 1790739464 | Jennifer Ann Lambert | Nurse Practitioner | 1200 Harrison Ave, Elkins, WV 26241-3394 | 2006-05-19 |
| 1427030337 | Samuel Kump Roberts | Family Medicine | 1200 Harrison Ave, Suite 121, Elkins, WV 26241-3394 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507625 | Cindy Phillips | Technician | 2068 Files Creek Road, Elkins, WV 26241 | 2020-10-30 |
| 1316544224 | Brittany Underwood | Technician | 27 Midway Loop Rd., Elkins, WV 26241 | 2020-10-04 |
| 1740895820 | Brandie Elaine Lambert | Technician | 1 Fifth Street, Elkins, WV 26241 | 2020-09-15 |
| 1174134118 | Sherri Lynn Stahl | Technician | 36 Midland Street, Elkins, WV 26241 | 2020-08-13 |
| 1447861489 | Gwyn Esther Reynolds | Technician | 2685 Wesley Chapel Rd, Dunmore, WV 26241 | 2020-08-13 |
| 1578173092 | Stephen Foy | Technician | 216 Davis Street, Elkins, WV 26241 | 2020-08-10 |
| 1497364913 | Renee Taylor | Technician | Lot 12 Valley View Mhp, Elkins, WV 26241 | 2020-07-30 |
| 1811506959 | Roxanna E Cooper | Case Manager/Care Coordinator | #1 Fifth Street, Elkins, WV 26241 | 2020-07-24 |
| 1194379479 | Kevin Robert Lambert | Optometrist | 205 Chenoweth Creek Rd, Elkins, WV 26241 | 2019-07-25 |
| 1003318841 | Anna Foster | Nurse Practitioner | 911 Gorman Ave. #201, Elkins, WV 26241 | 2018-03-07 |
| Find all providers in zip 26241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710461462 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 376 N Center Street, Elkins, AR 72727 | 2018-09-19 |
| 1356729172 | Medical Associates of Northwest Arkansas Pa | Family Medicine | 2127 N Center Street, Elkins, AR 72727 | 2015-05-13 |
| 1457442709 | Matthew Cupp | Family Medicine | 88 Stone Mountain Ln, Elkins, WV 26241-9000 | 2006-09-28 |
| 1609829647 | Alpha and Omega Family Practice LLC | Family Medicine | 804 Gorman Ave., Elkins, WV 26241 | 2006-05-19 |
| 1376535096 | Eric R. Anger | Family Medicine | 105 Nathan St, Elkins, WV 26241-3331 | 2005-08-18 |
| 1396737029 | Steven R Toney | Family Medicine | 812 Gorman Ave, Elkins, WV 26241-3181 | 2005-08-18 |
| 1114107133 | Carl Stephen High Md | Family Medicine | 909 Gorman Ave, Elkins, WV 26241-4109 | 2007-11-07 |
| 1285813428 | Neighborhood Family Medicine Pllc | Family Medicine | 630 Robert E Lee Ave, Elkins, WV 26241-3211 | 2007-10-24 |
| 1477750198 | Johanna Fisher Biola | Family Medicine | 812 Gorman Ave, Elkins, WV 26241-3181 | 2007-06-27 |
| 1649498080 | David W. Facello | Family Medicine | 812 Gorman Ave, Elkins, WV 26241-3181 | 2007-04-23 |
| Find all providers in ELKINS | ||||
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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.