DR. CRAIG S ROBERTS (NPI# 1720007115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720007115 |
| Entity Type | Individual |
| Full Name | DR. CRAIG S ROBERTS |
| Credential | M.D. |
| Practice Address |
530 S Jackson St Louisville KY 40202-1675 |
| Mailing Address |
210 E Gray St #900 Louisville KY 40202-3900 |
| Practice Telephone | 5025847525 |
| Practice Fax Number | 5025890849 |
| Mailing Telephone | 5025848002 |
| Mailing Fax Number | 5025890849 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
27746 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000049344 | 01 |
| IN | 100370290 | 05 | |
| KY | 64277460 | 05 | |
| KY | PASSPORT | 1049641 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922327808 | Craig Alan Roberts | Rehabilitation Hospital | 234 Nw Alejandra Way, Cache, OK 73527-2128 | 2010-05-18 |
| 1184870768 | Craig W Roberts | Massage Therapist | 2260 N Roan St, Johnson City, TN 37601-2527 | 2008-08-14 |
| 1932237138 | Craig Michael Roberts | Physician Assistant | 2631 Chamberlain Ave, Madison, WI 53705-3717 | 2007-03-01 |
| 1417054487 | Craig R Roberts | Physical Therapist | 1605 Scherm Rd, Owensboro, KY 42301-5300 | 2006-09-20 |
| 1952336836 | Craig Steven Roberts | Chiropractor | 582 Searls Ave, Nevada City, CA 95959-3029 | 2006-07-11 |
| 1720010556 | Craig M Roberts | Podiatrist | 2678 E Florence Ave, Huntington Park, CA 90255-4708 | 2006-07-06 |
| 1407466147 | Craig Roberts | Physical Therapy Assistant | 2954 Mallory Cir Ste 110, Celebration, FL 34747-1820 | 2020-08-07 |
| 1053504761 | Craig T Roberts | Dentist | 31 Washington Sq W, Suite 2 F, New York, NY 10011-9126 | 2007-08-26 |
| 1871630756 | Craig L Roberts | Social Worker | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-01-31 |
| 1881785913 | Craig Edward Roberts | Plastic Surgery | 3050 Route 50, Suite 201, Saratoga Springs, NY 12866 | 2006-09-27 |
| Street Address |
530 S JACKSON ST |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-1675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548264062 | Magdy A Abaskaron | Radiology | 530 S Jackson St, # C07, Louisville, KY 40202-1675 | 2005-06-13 |
| 1609476787 | Jessica Fuyumi Burns | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-28 |
| 1881292548 | Elizabeth Ann Blandford | Nurse Practitioner | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-15 |
| 1487252466 | Corey Dale Vogt | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-10-13 |
| 1265046627 | Miranda Renea Pierce | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-09-03 |
| 1568080679 | Thomas Matthew Sturgis | Physical Therapist | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-07-07 |
| 1356965701 | Casey Marie Sullivan | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-06-02 |
| 1255951083 | Teresa S Meurer | Registered Nurse | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-22 |
| 1063032001 | Michael Dale Lance II | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-20 |
| 1700405164 | Sayed Eyedn Khosrowshahi | Nurse Anesthetist, Certified Registered | 530 S Jackson St, Louisville, KY 40202-1675 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982879607 | Jeffrey Lynn Gum | Orthopaedic Surgery | 210 East Gray Street, Louisville, KY 40202-1902 | 2008-04-23 |
| 1518967371 | Michael Thomas Casnellie | Orthopaedic Surgery | 3615 Newburg Rd, Louisville, KY 40218-3368 | 2005-07-22 |
| 1316942006 | David P Rouben | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2005-06-17 |
| 1972119220 | Joseph Morreale Md | Orthopaedic Surgery | 90 Health Park Dr Ste 130, Louisville, CO 80027-9586 | 2020-09-22 |
| 1073133054 | Joseph Laratta Md Spine Surgeon, LLC | Orthopaedic Surgery | 1169 Eastern Pkwy Ste 400, Louisville, KY 40217-1412 | 2020-04-20 |
| 1760995443 | David P Rouben Md Psc | Orthopaedic Surgery | 8620 Biggin Hill Ln, Louisville, KY 40220 | 2017-11-16 |
| 1821507005 | Mikhail Lew Perez Ver | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2017-09-20 |
| 1982019998 | Kimona Issa | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2014-06-27 |
| 1891058335 | Fabian Carballo Madrigal | Orthopaedic Surgery | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2012-06-20 |
| 1871852640 | University Orthopaedic Departmental Entity Inc | Orthopaedic Surgery | 530 S Jackson St, Louisville, KY 40202-1675 | 2012-05-14 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.