CALEB E ROBERTS (NPI# 1699062638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699062638 |
Entity Type | Individual |
Full Name | CALEB E ROBERTS |
Credential | D.P.M. |
Practice Address |
496 Shoup Ave W Ste B Twin Falls ID 83301-5043 |
Practice Telephone | 2087347676 |
Practice Fax Number | 2087368378 |
Mailing Telephone | 2087347676 |
Mailing Fax Number | 2087368378 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2014-09-10 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
CS35833 | ID | Podiatric Medicine & Surgery Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528572849 | Caleb William Freeman Roberts | Acupuncturist | 7851 Mission Center Ct Ste 255, San Diego, CA 92108 | 2017-11-22 |
1750944096 | Caleb David Roberts | Physician Assistant | 4535 Dressler Rd Nw, Canton, OH 44718-2545 | 2019-04-22 |
Street Address |
496 SHOUP AVE W STE B |
City | TWIN FALLS |
State | ID |
Zip Code | 83301-5043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093924813 | Craig D Holman | Podiatrist | 496 Shoup Ave W Ste B, Twin Falls, ID 83301-5043 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023645918 | Matthew Anderson | Pharmacist | Dick's Pharmacy, 526 K Shoup Ave W, Twin Falls, ID 83301 | 2020-03-23 |
1780146316 | Frontier Pediatric Partners, Pllc | Pediatrics | 1502 Locust Street N #700, Twin Falls, ID 83301 | 2019-04-02 |
1972073377 | Wood River Acupuncture | Acupuncturist | 1625 Addison Ave East, Twin Falls, ID 83301 | 2018-11-28 |
1235629874 | Lonnie Paul | Counselor | 1092 Eastland Dr N Ste A, Twin Falls, ID 83301 | 2018-05-17 |
1679060966 | Christina Jirapha Thongdee | Social Worker | 625 Poleline Road West, Suite 2a, Twin Falls, ID 83301 | 2018-04-23 |
1437658499 | Tyrel Kevin Ward | Chiropractor | 2167 Village Park Ave., Suite 100, Twin Falls, ID 83301 | 2018-02-06 |
1851836381 | Tanabell Health Services, Inc | Skilled Nursing Facility | 1134 Cheney Drive West, Twin Falls, ID 83301 | 2016-12-19 |
1578005195 | Matthew Carter | Physical Therapist | 1053 Eastland Drive, Twin Falls, ID 83301 | 2016-11-14 |
1790227783 | Murvat Usmanova | Nurse Practitioner | 775 Pole Line Road W, Suite 203, Twin Falls, ID 83301 | 2016-11-08 |
1265894687 | Shawna Fultz | Social Worker | 1201 Fall Ave East Suite C, Twin Falls, ID 83301 | 2016-03-24 |
Find all providers in zip 83301 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174756316 | Daniel Matthew Wettstein | Podiatrist | 476 Cheney Drive West, Twin Falls, ID 83301 | 2009-09-03 |
1609296326 | Magic Valley Foot and Ankle Specialists Pllc | Podiatrist | 496 Shoup Ave W, Twin Falls, ID 83301-5834 | 2014-04-21 |
1952592404 | Jason B Devries | Podiatrist | 191 Addison Ave, Twin Falls, ID 83301-5177 | 2007-08-08 |
1255334066 | Randal Lee Wraalstad | Podiatrist | 714 N College Rd, Suite A, Twin Falls, ID 83301-5812 | 2005-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518225929 | Clark A Johnson | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2012-04-24 |
1396023446 | Kurt Earl Kinghorn | Podiatrist | 1828 S Millenium Way Ste 200, Meridian, ID 83642-5036 | 2011-07-22 |
1649506536 | James Rex Cutler | Podiatrist | 76 E 1st S, Rexburg, ID 83440-1936 | 2009-10-27 |
1578576732 | Bruce G Tolman | Podiatrist | 1540 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2006-08-15 |
1679514186 | Ryan Averett Dpm PC | Podiatrist | 2221 W Ironwood Center Dr, Coeur D Alene, ID 83814-2697 | 2006-06-08 |
1245216647 | Kert W Howard | Podiatrist | 1555 E Clark St, Pocatello, ID 83201-4133 | 2005-12-16 |
1093717787 | Richard Michael Allen | Podiatrist | 1630 23rd Ave, Suite 1001, Lewiston, ID 83501-6350 | 2005-08-11 |
1447257076 | Bradley J Capawana | Podiatrist | 619 S Washington St, Ste 103, Moscow, ID 83843-3090 | 2005-06-28 |
1326042045 | Michael J Drager | Podiatrist | 850 W Ironwood Dr, Ste 301, Coeur D Alene, ID 83814-4903 | 2005-06-09 |
1083261697 | Treasure Valley Foot and Ankle | Podiatrist | 3120 W Belltower Dr Ste 100, Meridian, ID 83646-7744 | 2019-08-20 |
Find all providers with the same taxonomy |
City | TWIN FALLS |
Zip Code | 83301 |
Please comment or provide details below to improve the information on CALEB E ROBERTS.
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.