JUSTIN W. ROBERTS


Address: 501 West Pine Street, Farmington, MO 63640
Phone: 5737568888

JUSTIN W. ROBERTS (NPI# 1619057064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619057064
Entity Type Individual
Full Name JUSTIN W. ROBERTS
Credential DO
Practice Address 501 West Pine Street
Farmington
MO 63640
Mailing Address 501 West Pine Street
Farmington
MO 63640-1439
Practice Telephone 5737568888
Practice Fax Number 8662915617
Mailing Telephone 5737568888
Mailing Fax Number 5737019547
Enumeration Date 2006-10-17
Last Update Date 2017-09-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207YS0123X Otolaryngology
Specialization: Facial Plastic Surgery
2004027799 MO Allopathic & Osteopathic Physicians

Other Providers JUSTIN ROBERTS

NPI Name Taxonomy Address Enumeration
1962953158 Justin Roberts Nurse Practitioner 333 S 38th St Ste E, Muskogee, OK 74401-4937 2016-10-22
1073880746 Justin L Roberts Dentist 807 Spring Forest Road, Raleigh, NC 27609 2011-11-24
1407481146 Justin Hugh Roberts Physician Assistant 901 18th St E, Tifton, GA 31794-3648 2020-03-03
1063045425 Justin Ryan Roberts Pharmacist 2950 S Newburgh Rd, Wayne, MI 48184-1002 2020-02-13
1083260749 Justin Roberts Behavioral Analyst 600 N 1st St, Las Vegas, NV 89101-1904 2019-08-16
1881172419 Justin Roberts Optometrist 623 Atwells Ave, Providence, RI 02909-7403 2018-08-06
1548754054 Justin Roberts Dentist 301 S J T Stites St, Sallisaw, OK 74955-9302 2018-06-18
1255887915 Justin Roberts Spec/Tech, Pathology 2100 Stantonsburg Rd, Greenville, NC 27834-6028 2016-08-31
1174978563 Justin Douglas Roberts Student in an Organized Health Care Education/Training Program 355 Grand St, Jersey City, NJ 07302-4321 2016-05-04
1780047340 Justin Roberts Physical Therapist 4100 Lake Otis Pkwy Ste 106, Anchorage, AK 99508-5230 2016-03-31

Office Location

Street Address 501 WEST PINE STREET
City FARMINGTON
State MO
Zip Code 63640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740451491 Farmington Ear, Nose, and Throat, LLC Clinic/Center 501 West Pine Street, Farmington, MO 63640 2008-03-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316545254 Brenda S Halton Nurse Practitioner 1010 West Columbia Street, Farmington, MO 63640 2020-10-13
1619519089 Stacey Nicole Gillette Counselor 17885 Hart Pinkston Rd, Farmington, MO 63640 2019-10-17
1346890696 Christopher Ryan Massey Social Worker 607 Pine St., Farmington, MO 63640 2019-09-18
1457909376 Clarice Ogden Social Worker 203 South Washington Street, Farmington, MO 63640 2019-09-04
1861979718 Clint Thebeau In Home Supportive Care 1276 W Liberty St, Farmington, MO 63640 2018-07-24
1023500600 Lynn Machelle Knox Counselor 219 W Columbia St, Farmington, MO 63640 2018-05-31
1235620576 Kim Bazzell Registered Nurse 1565 Ste. Genevieve Ave., Farmington, MO 63640 2018-05-22
1164919742 Lincare Inc. Durable Medical Equipment & Medical Supplies 774 Market St, Farmington, MO 63640 2018-04-18
1184127813 Michelle Lynette Corvallis Chiropractor 17 South Franklin St., Farmington, MO 63640 2018-03-08
1992206213 Farmington Vision Care LLC Optometrist 110 E Harrison St, Farmington, MO 63640 2018-02-22
Find all providers in zip 63640

Taxonomy Information

Taxonomy Code 207YS0123X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology
Specialization Facial Plastic Surgery

Taxonomy Definition

An otolaryngologist who specializes in facial plastic surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1730170507 Frank Simo Otolaryngology 10448 Old Olive Street Rd Ste 200, Saint Louis, MO 63141-5927 2005-11-02
1215938550 Anthony Joseph D'angelo Jr. Otolaryngology 2315 Dougherty Ferry Road, Suite 103, St. Louis, MO 63122 2005-08-09
1265436711 Robert Daniel Craig Otolaryngology 777 S New Ballas Rd, Ste 320e, Saint Louis, MO 63141-8789 2005-06-10
1154520757 Nathan Seth Box Otolaryngology 1331 W 32nd St, Joplin, MO 64804-1601 2007-07-13
1023220910 St Louis University Otolaryngology 3660 Vista Ave, Saint Louis, MO 63110-2540 2007-05-04
1598892838 William H Friedman Otolaryngology 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2330 2007-02-27
1609925809 Tamara Kay Ehlert Otolaryngology 522 N New Ballas Rd, Suite 300, Creve Coeur, MO 63141-6857 2007-01-09
1396810982 Nayak Plastic Surgery, P.C. Otolaryngology 607 S Lindbergh Blvd, Saint Louis, MO 63131-2734 2006-11-21
1104911288 Ear Nose & Throat & Plastic Surg Inc Otolaryngology 2315 Dougherty Ferry Road, Ste. 103, St. Louis, MO 63122 2006-10-04
1205825031 Richard W Maack Otolaryngology 226 S Woods Mill Rd, Suite 37 West, Chesterfield, MO 63017-3662 2005-10-14
Find all providers with the same taxonomy

Competitor

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City FARMINGTON
Zip Code 63640

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Dataset Information

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.

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