ALICE A. ROBERTS (NPI# 1508842956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508842956 |
| Entity Type | Individual |
| Full Name | ALICE A. ROBERTS |
| Credential | MD |
| Practice Address |
721 Fairfax Ave Ste 200 Norfolk VA 23507-2007 |
| Mailing Address |
Po Box 936 Norfolk VA 23501-0936 |
| Practice Telephone | 7574465274 |
| Practice Fax Number | 7574465821 |
| Mailing Telephone | 7574465274 |
| Mailing Fax Number | 7574465821 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
0101267664 | VA | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
0101267664 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487743571 | Alice J Roberts | Nurse Practitioner | 757 Bryant St, Statesville, NC 28677-4142 | 2006-10-12 |
| 1962464354 | Alice F Roberts | Nurse Practitioner | 3124 W Highway 22, Corsicana, TX 75110-2435 | 2006-04-03 |
| 1285630665 | Alice K Roberts | Obstetrics & Gynecology | 300 Welsh Rd, Horsham, PA 19044-2248 | 2005-06-22 |
| Street Address |
721 FAIRFAX AVE STE 200 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115176 | Stephanie Andrea Castillo | Student in an Organized Health Care Education/Training Program | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2019-03-26 |
| 1184076796 | Robert James Smith | Dermatology | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2016-07-07 |
| 1912351032 | Andrew Raul Villanueva | Dermatology | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2016-04-14 |
| 1750723474 | Abby Ann Barney | Physician Assistant | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2013-07-23 |
| 1861699795 | Elisa S. Gallo | Dermatology | 721 Fairfax Ave Ste 200, Norfolk, VA 23507-2007 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811059983 | Jean Dobson Kemp | Pathology | 733 Boush St Ste 200, Norfolk, VA 23510-1591 | 2006-12-15 |
| 1598739583 | Michael Thomas Ryan | Pathology | 733 Boush St, Suite 200, Norfolk, VA 23510-1501 | 2006-02-15 |
| 1659329902 | Robert Anthony Frazier Jr. | Pathology | 733 Boush St, Suite 200, Norfolk, VA 23510-1501 | 2006-05-05 |
| 1285694042 | Kevaghn P. Fair | Pathology | 733 Boush St, Suite 200, Norfolk, VA 23510-1501 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457713455 | Augusta Cancer Diagnostics | Pathology | 16 Ivy Ridge Ln, Suite 138, Fishersville, VA 22939-2354 | 2016-03-28 |
| 1548339682 | Virginia Pathology Svcs PC | Pathology | 6121 Lincolnia Rd, Suite 108, Alexandria, VA 22312 | 2006-11-06 |
| 1801862867 | David Mark Rowe | Pathology | 3050 Berkmar Dr Ste A, Charlottesville, VA 22901-3405 | 2006-02-28 |
| 1114927092 | Earl Maxwell Hudgins | Pathology | 5421 Patterson Ave, Richmond, VA 23226-2003 | 2005-07-21 |
| 1861496648 | Mark W Teague | Pathology | 2331 Seminole Ln, Ste 102, Charlottesville, VA 22901-8319 | 2005-06-09 |
| 1447817689 | Loudoun Medical Group, P.C. | Pathology | 6736 Curran St Ste 1, Mc Lean, VA 22101-3803 | 2019-05-23 |
| 1124394572 | Shyam Sampath Raghavan | Pathology | 1215 Lee St, Charlottesville, VA 22908-2205 | 2012-03-30 |
| 1326246927 | Jennifer M Reese | Pathology | 405 Glenn Dr, Suite #10a, Sterling, VA 20164-7119 | 2007-07-05 |
| 1730382581 | Catherine I Barry | Pathology | 2331 Seminole Lane, Suite 102, Charlottesville, VA 22901-8319 | 2007-06-08 |
| 1649311861 | Alexander T. Ocampo | Pathology | 360 Maple Ave W, Suite F, Vienna, VA 22180-5614 | 2007-02-09 |
| 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.