JENNIFER B. ROBERTS, MD, PLLC (NPI# 1659652576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659652576 |
| Entity Type | Organization |
| Organization Name | JENNIFER B. ROBERTS, MD, PLLC |
| Practice Address |
2413 Palmer Cir Norman OK 73069-6301 |
| Mailing Address |
Po Box 248855 Oklahoma City OK 73124-8855 |
| Practice Telephone | 4053103843 |
| Practice Fax Number | 4053215348 |
| Mailing Telephone | 4053103843 |
| Mailing Fax Number | 4053215348 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | JENNIFER ROBERTS (MD) |
| Authorized Official Telephone | 4053103843 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25719 | OK | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | INDIVIDUAL NPI | 1871799619 | 01 |
| Street Address |
2413 PALMER CIR |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016169 | Thomas Duke Urice | Specialist | 2413 Palmer Cir, Norman, OK 73069-6301 | 2005-07-12 |
| 1093148488 | Thomas D. Urice M.d. LLC | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2013-08-21 |
| 1407024367 | Paul S. Gillum, Md, PC | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2008-02-13 |
| 1215116975 | David K Duncan | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2007-10-30 |
| 1871799619 | Jennifer Carol Barnes Roberts | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2007-06-26 |
| 1982602025 | Paul Stevens Gillum | Specialist | 2413 Palmer Cir, Norman, OK 73069-6301 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1013295492 | Laura Foshee | Specialist | 825 E. Robinson, Norman, OK 73071-6610 | 2011-08-02 |
| 1902113467 | Laurance Standish Reid Jr. | Specialist | 3820 Northridge Rd, Norman, OK 73072-3204 | 2010-09-07 |
| 1942454061 | Nazir Ahmed Balouch | Specialist | 901 N. Porter Avenue, Norman, OK 73071-6404 | 2008-11-17 |
| 1770751299 | John R Resneder Md PC | Specialist | 900 N Porter Ave Ste 110, Norman, OK 73071-6426 | 2008-02-19 |
| 1235336280 | Norman Cardiovascular Associates, P.C. | Specialist | 900 N Porter Ave Ste 100b, Norman, OK 73071-6426 | 2007-07-02 |
| 1134323355 | Cornelius Jemeel Carter | Specialist | 117 Willow Branch Rd, Norman, OK 73072-4506 | 2007-06-12 |
| 1083835425 | Tonya Gralla | Specialist | 603 Okmulgee St, Norman, OK 73071-4626 | 2007-05-02 |
| 1669506507 | Lesa J Bethel Mulligan Md PC | Specialist | 809 N Findlay, Ste 100, Norman, OK 73071 | 2007-03-15 |
| 1477696094 | John B Chace Md PC | Specialist | 500 E Robinson St Ste 2300, Norman, OK 73071-6671 | 2007-02-14 |
| Find all providers in NORMAN | ||||
Please comment or provide details below to improve the information on JENNIFER B. ROBERTS, MD, PLLC.
| 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.