SCOTT ROBERTS (NPI# 1548673627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548673627 |
| Entity Type | Individual |
| Full Name | SCOTT ROBERTS |
| Credential | M.D. |
| Practice Address |
789 Howard Ave # 3 New Haven CT 06519-1304 |
| Practice Telephone | 2037853561 |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
65022 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301105699 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1500 E Medical Center Dr, 3116 Taubman Center, Spc 5368, Ann Arbor, MI 481095000 | 7348445400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144723636 | Scott K Roberts | Non-emergency Medical Transport (VAN) | 2650 Holston River Dr, Rutledge, TN 37861-4330 | 2018-03-12 |
| 1801182803 | Scott Christopher Roberts | Dentist | 444 Forest Sq Ste F, Longview, TX 75605-4400 | 2011-06-28 |
| 1730390782 | Scott Roberts | Orthopaedic Surgery | 10 Mulligan Dr, Petersburg, WV 26847-1000 | 2007-05-24 |
| 1073547857 | Scott Jonathan Roberts | Specialist | 3514 Mayland Ct, Richmond, VA 23233-1421 | 2006-07-10 |
| 1407330095 | Scott Alan Roberts | Social Worker | 1102 S Raymond Rd, Spokane Valley, WA 99206-3534 | 2018-09-19 |
| 1831683176 | Scott Roberts | Chiropractor | 117 E Main St, Cardington, OH 43315-1115 | 2018-06-20 |
| 1508394180 | Scott Lee Roberts | Nurse Practitioner | 3900 S Zintel Way, Kennewick, WA 99337-5092 | 2017-05-26 |
| 1881126167 | Scott Roberts | Counselor | 12335 Hymeadow Dr Ste 300, Austin, TX 78750-1935 | 2017-03-28 |
| 1720528334 | Scott Roberts | Physician Assistant | 104 Endicott St, Ste. 100, Danvers, MA 01923-3623 | 2017-03-01 |
| 1851755904 | Scott Benjamin Roberts | Family Medicine | 2592 N Santiago Blvd, Orange, CA 92867-1862 | 2016-04-05 |
| Street Address |
789 HOWARD AVE # 3 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06519-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
| 1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
| 1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
| 1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
| 1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
| 1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
| 1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
| 1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
| Find all providers in zip 06519 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1780979526 | Marwan Azar | Internal Medicine | 300 Cedar St # S169, New Haven, CT 06519-1612 | 2011-06-09 |
| 1730415928 | Stephanie Green | Internal Medicine | 54 Meadow St Fl 1, New Haven, CT 06519-1719 | 2009-10-23 |
| 1205010493 | Jason Jonathon Sico | Internal Medicine | 78 Cove St Unit 1, New Haven, CT 06512-4304 | 2007-12-24 |
| 1407881915 | Michael Dean Virata | Internal Medicine | Hospital of St. Raphael, The Haelen Center, New Haven, CT 06511-4440 | 2006-07-12 |
| 1295107993 | Albert Icksang Ko | Internal Medicine | 60 College St, Yale School of Public Health, New Haven, CT 06510-3201 | 2015-10-21 |
| 1952714461 | Rupak Datta | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2014-06-03 |
| 1194158667 | Ashly Maughan | Internal Medicine | 428 Columbus Ave, New Haven, CT 06519 | 2013-08-19 |
| 1174880280 | Sonali Devidas Advani | Internal Medicine | 300 Cedar St, Tac S161, New Haven, CT 06519-1612 | 2012-04-13 |
| 1104191311 | Shelli F Farhadian | Internal Medicine | 20 York St, New Haven, CT 06510 | 2012-03-21 |
| 1295044618 | James Christopher Shepherd | Internal Medicine | 20 York St, New Haven, CT 06510-3220 | 2010-10-04 |
| Find all providers in NEW HAVEN | ||||
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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.