DR. JERRY THOMAS ROBERTS (NPI# 1629395405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629395405 |
| Entity Type | Individual |
| Full Name | DR. JERRY THOMAS ROBERTS |
| Credential | D.P.M. |
| Practice Address |
117 Tradepark Dr Somerset KY 42503-3428 |
| Practice Telephone | 6066792773 |
| Practice Fax Number | 6066794626 |
| Mailing Telephone | 6066792773 |
| Mailing Fax Number | 6066794626 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2015-10-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
00439 | KY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD001206 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032768 | Jerry Ted Roberts | Optometrist | 1100 Stone Rd, Suite 2020, Kilgore, TX 75662-5482 | 2006-04-14 |
| 1215912464 | Jerry D Roberts | Optometrist | 279 N Gardner St, Scottsburg, IN 47170 | 2005-12-09 |
| 1336274240 | Jerry D Roberts | Occupational Therapist | 205 N Tracy Ave, Bozeman, MT 59715-3564 | 2007-02-22 |
| 1093761884 | Jerry M. Roberts | Pediatrics | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2006-05-25 |
| 1033180336 | Jerry D Roberts | Optometrist | 507 E Cleveland Ave, Monett, MO 65708-1750 | 2006-01-27 |
| Street Address |
117 TRADEPARK DR |
| City | SOMERSET |
| State | KY |
| Zip Code | 42503-3428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215920517 | Charles Edwin Bianchi | Pharmacist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2005-08-23 |
| 1730533977 | Amanda Megan Kohut | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2016-04-13 |
| 1508107764 | Physicians Select Theraputic | Durable Medical Equipment & Medical Supplies | 117 Tradepark Dr, Suite A, Somerset, KY 42503 | 2013-03-12 |
| 1205136314 | Shekwonugaza Aboki | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-10-25 |
| 1427369164 | Phillip Wood Hasler | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-06-28 |
| 1649425331 | Jeffrey T Schnell | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2008-11-21 |
| 1023263712 | Shannon Renee Schnell | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2008-11-21 |
| 1093901100 | Cumberland Foot & Ankle Centers | Orthopaedic Surgery | 117 Tradepark Dr, Somerset, KY 42503 | 2007-09-21 |
| 1013003029 | David D Escobar | Physical Therapist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2006-10-05 |
| 1679669600 | Blue Grass Physiotherapy, Pllc | Physical Therapist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023669652 | Carehere LLC | Family Medicine | Carehere Clinic- Toyotetsu Somerset Ky, 80 Pin Oak, Somerset, KY 42503 | 2019-09-25 |
| 1841859766 | Armina Jo Hoeck | Behavior Technician | Kid Spot Center, 200 Tower Circle, Somerset, KY 42503 | 2019-06-13 |
| 1548723042 | Lisa Hunter | Counselor | 225 Ky 2227, Somerset, KY 42503 | 2019-04-11 |
| 1982171237 | Bluegrass Hearing Clinic, LLC | Audiologist | 25 Medpark West, Suite 2, Somerset, KY 42503 | 2018-10-25 |
| 1780109116 | Kentucky Diagnostic Ultrasound, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 324 Water Cliff Dr., Somerset, KY 42503 | 2017-08-07 |
| 1689115172 | Lake Cumberland Physician Practices LLC | Internal Medicine | 154 Bogle Office Park Dr Ste B, Somerset, KY 42503 | 2017-03-16 |
| 1811356892 | Lake Cumberland Physician Practices, LLC | Nurse Practitioner | 27 Imaging Dr, Suite B, Somerset, KY 42503 | 2016-02-18 |
| 1730586447 | Amy Molen | Counselor | 259 Parkers Mill Road, Somerset, KY 42503 | 2014-11-24 |
| 1841630654 | Eastern Pulaski Rural Health Clinic,pllc | Clinic/Center | 31 Mark Shopville Rd, Somerset, KY 42503 | 2013-06-26 |
| 1881978807 | Nathan S Fisher | Counselor | 600 Clifty St Ste 2, Somerset, KY 42503 | 2011-10-10 |
| Find all providers in zip 42503 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578799888 | Jade Gittens | Podiatrist | 7 Cedar Grove Ln Ste 28, Somerset, NJ 08873-1331 | 2009-06-02 |
| 1255403705 | Richard D. Grebosky D.p.m., P.C. | Podiatrist | 451 Stoystown Rd, Somerset, PA 15501-6927 | 2006-11-13 |
| 1609951482 | Tri County Foot and Ankle Associates Inc | Podiatrist | 301 Dr Mike Clouse Drive, Somerset, OH 43783 | 2006-10-27 |
| 1912960394 | Richard David Grebosky | Podiatrist | 516 Georgian Pl, Somerset, PA 15501-1613 | 2006-04-07 |
| 1982050209 | Suchir Ketan Sheth | Podiatrist | 51 Veronica Ave, Somerset, NJ 08873-3448 | 2016-05-05 |
| 1730533977 | Amanda Megan Kohut | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2016-04-13 |
| 1295072627 | Premier Foot & Ankle Center | Podiatrist | 7 Cedar Grove Ln Ste 28, Suite C, Somerset, NJ 08873-1331 | 2013-01-04 |
| 1205136314 | Shekwonugaza Aboki | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-10-25 |
| 1427369164 | Phillip Wood Hasler | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-06-28 |
| 1649425331 | Jeffrey T Schnell | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2008-11-21 |
| Find all providers in SOMERSET | ||||
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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.