MOLLY ROBERSON COMPREHENSIVE SURGICAL ASSISTANCE PLLC (NPI# 1770066292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770066292 |
| Entity Type | Organization |
| Organization Name | MOLLY ROBERSON COMPREHENSIVE SURGICAL ASSISTANCE PLLC |
| Other Organization Name | COMPREHENSIVE SURGICAL ASSISTANCE, PLLC |
| Practice Address |
1064 Eastern Pkwy Louisville KY 40217-1532 |
| Practice Telephone | 5024894325 |
| Mailing Telephone | 5024894325 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-11-05 |
| Authorized Official Name | MRS. MOLLY A ROBERSON (PHYSICIAN ASSISTANT/OWNER) |
| Authorized Official Telephone | 5024894325 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Comprehensive Surgical Assistance, PLLC | Doing Business As Name - Organization |
| Street Address |
1064 EASTERN PKWY |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40217-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564016 | Kaela Marie Turley | Nurse Practitioner | 2355 Poplar Level Rd Ste 405, Louisville, KY 40217 | 2018-07-19 |
| 1740710623 | Landmark of Louisville Rehabilitation and Nursing Center | Skilled Nursing Facility | 1155 Eastern Parkway, Louisville, KY 40217 | 2017-06-14 |
| 1386185437 | Meredith Brooke Ervin | Counselor | 1169 Eastern Pkwy Ste 3310, Louisville, KY 40217 | 2017-03-08 |
| 1437507621 | Kendra Pickerill | Speech-Language Pathologist | 906 Delor Avenue, Louisville, KY 40217 | 2016-05-27 |
| 1275947186 | Gary Muncy | Massage Therapist | 607 East Brandeis Ave, Louisville, KY 40217 | 2014-06-18 |
| 1912318791 | Stacey Charlotte Elmes | Case Manager/Care Coordinator | 2338 Alexanderave, Louisville, KY 40217 | 2014-05-14 |
| 1275819831 | April Mecasha Cox | Pharmacist | 808 Eastern Parkway, Louisville, KY 40217 | 2011-10-27 |
| 1831346204 | Nikki Renee Wilson | Registered Nurse | 1169 Eastern Pkwy Ste 1226, Louisville, KY 40217 | 2008-08-27 |
| 1497925440 | Sarah Beth Murrow | Chiropractor | 1100 Milton St, Louisville, KY 40217 | 2008-03-06 |
| 1457560302 | Ferenc Pantaleone Nagy | Surgery | 3 Audubon Plaza Dr Ste 220, Louisville, KY 40217 | 2007-05-21 |
| Find all providers in zip 40217 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124072590 | David R Yeager | Physician Assistant | 210 E Gray St Ste 900, Louisville, KY 40202-3905 | 2006-05-20 |
| 1265070809 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-13 |
| 1316584691 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-12-05 |
| 1710528336 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-04 |
| 1316588957 | Norton Children's Medical Group, LLC | Physician Assistant | 1930 Bishop Ln Ste 101710th, Louisville, KY 40218-1921 | 2019-10-04 |
| 1699328880 | Amy Elizabeth Seldon | Physician Assistant | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2019-07-17 |
| 1093287815 | Allie Rush Romines | Physician Assistant | 3 Audubon Plaza Dr Ste 230, Louisville, KY 40217-1319 | 2018-12-18 |
| 1194224048 | Molly Roberson | Physician Assistant | 9880 Angies Way Ste 250, Louisville, KY 40241-2865 | 2018-02-06 |
| 1619475225 | Community Medical Associates, Inc. | Physician Assistant | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2018-01-29 |
| 1942614987 | Courtney R Hamm | Physician Assistant | 3 Audubon Plaza Dr, Suite 530, Louisville, KY 40217-1300 | 2014-06-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40217 |
Please comment or provide details below to improve the information on MOLLY ROBERSON COMPREHENSIVE SURGICAL ASSISTANCE 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.