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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | G72120 | CA | Managed Care Organizations |
Street Address |
1580 CREEKSIDE DR SUITE NUMBER 130 |
City | FOLSOM |
State | CA |
Zip Code | 95630-3886 |
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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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 Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
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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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.