MARK W ROBERTS MD INC


Address: 1580 Creekside Dr, Suite Number 130, Folsom, CA 95630-3886
Phone: 9169836400

MARK W ROBERTS MD INC (NPI# 1811153836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811153836
Entity Type Organization
Organization Name MARK W ROBERTS MD INC
Practice Address 1580 Creekside Dr
Suite Number 130
Folsom
CA 95630-3886
Practice Telephone 9169836400
Practice Fax Number 9169836011
Mailing Telephone 9169836400
Mailing Fax Number 9169836011
Enumeration Date 2008-07-29
Last Update Date 2008-08-26
Authorized Official Name DANIELLE EBRADO (CMA/MEDICAL ASSISTANT)
Authorized Official Telephone 9169836400
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service G72120 CA Managed Care Organizations

Office Location

Street Address 1580 CREEKSIDE DR
SUITE NUMBER 130
City FOLSOM
State CA
Zip Code 95630-3886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437134319 Nazir Ahmad Rahim Internal Medicine 1580 Creekside Dr, Ste 220, Folsom, CA 95630-3886 2005-12-13
1639618481 Tet Toe Md Inc Clinic/Center 1580 Creekside Dr, Suite 130, Folsom, CA 95630-3886 2017-02-13
1396070132 Debi Hoffman Psychologist 1580 Creekside Dr, Suite 240, Folsom, CA 95630-3886 2009-10-13
1639303951 Peter N. Sfakianos, M.d., Inc. Orthopaedic Surgery 1580 Creekside Dr, Suite 100, Folsom, CA 95630-3886 2009-05-14
1316134448 Robert R. Slater, Jr, Md. Incorporated Orthopaedic Surgery 1580 Creekside Dr, Suite 100, Folsom, CA 95630-3886 2007-10-03
1932304623 Emily Susanne O'neal Physician Assistant 1580 Creekside Dr, Suite 260, Folsom, CA 95630-3886 2007-06-20
1679610372 Julie Ellen Morrison Marriage & Family Therapist 1580 Creekside Dr, Suite 240, Folsom, CA 95630-3886 2007-01-31
1467524546 Roy F Kaku Internal Medicine 1580 Creekside Dr, Ste 250, Folsom, CA 95630 2006-11-14
1548332091 Betty Rucker Sutton Psychologist 1580 Creekside Dr, Folsom, CA 95630-3886 2006-11-13
1568542520 Michael Harris Millman Psychologist 1580 Creekside Dr, Ste. 240, Folsom, CA 95630-3886 2006-10-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831724657 Corrections and Rehabilitation Pharmacy 570 E. Natoma Street, Folsom, CA 95630 2020-03-12
1174153027 Haley Harmon Nurse Practitioner 1621 Creekside Dr. Creekside Ob/gyn, Ste. 102, Folsom, CA 95630 2020-01-20
1932741469 Ruma Ramani Jolly Speech-Language Pathologist 250 Mc Adoo Drive, Willow Springs, Apt.911, Folsom, CA 95630 2019-10-16
1750844767 Sharon Munyaanyi Registered Nurse 1600 Creekside Dr Ste 3700, Folsom, CA 95630 2019-04-08
1104308345 Stephanie Whatley Optometrist 2390 E Bidwell St Ste 400, Folsom, CA 95630 2018-09-04
1447746607 Heather Michellee Thrapp Behavioral Analyst 125 Oak Ravine Way, Folsom, CA 95630 2018-07-10
1700370483 Loretta May Delgado Behavior Technician 322 Crow Cany, Folsom, CA 95630 2018-06-18
1417448176 Sound Support Inc. Hearing Instrument Specialist 610 East Bidwell Street, Suite A, Folsom, CA 95630 2018-05-29
1548750144 Don Peterson Md, Sugical Assisting General Practice Mercy Hospital of Folsom (dignity Health Folsom), 1650 Creekside Dr., Folsom, CA 95630 2018-05-18
1245733328 American Heritage Hospice Inc Hospice Care, Community Based 1837 Iron Point Rd Ste 180, Folsom, CA 95630 2018-03-14
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

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1629622063 Rose Woo Psychologists Inc Point of Service 16 S Oakland Ave Ste 214, Pasadena, CA 91101-2042 2019-07-24
1770136426 Hmk Medical Transportation Point of Service 267 Aldama Ave, Pomona, CA 91767-1749 2019-07-22
1427516681 Klifford T Kapus Dds., Msd A Dental Corporation Point of Service 4200 East Ave Ste 100, Livermore, CA 94550-4945 2019-03-06
1821553850 Reginald Washington Point of Service 2733 Lemon Grove Ave, Lemon Grove, CA 91945-2938 2019-02-04
1417432246 Access Multilingual Services, Inc. Point of Service 11041 Santa Monica Blvd, #813, Los Angeles, CA 90025-3523 2018-09-27
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Competitor

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City FOLSOM
Zip Code 95630

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Dataset Information

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.

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