JARED TYLER ROBERTS (NPI# 1811157324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811157324 |
| Entity Type | Individual |
| Full Name | JARED TYLER ROBERTS |
| Credential | M.D. |
| Practice Address |
1367 Washington Ave Suite 200 Albany NY 12206-1069 |
| Practice Telephone | 5184892666 |
| Mailing Telephone | 5184892666 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0114X |
Orthopaedic Surgery Specialization: Adult Reconstructive Orthopaedic Surgery |
244799-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063923597 | Jared Roberts | Counselor | 550 W Sunnyside Rd, Idaho Falls, ID 83402-4619 | 2017-10-24 |
| 1962031435 | Jared Michael Roberts | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2020-04-06 |
| 1972033496 | Jared Emerson Roberts | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2017-06-18 |
| 1124552245 | Jared Roberts | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2017-04-14 |
| 1225487663 | Jared Roberts | Internal Medicine | 1010 N Kansas St, Wichita, KS 67214-3124 | 2016-06-07 |
| 1629494935 | Jared Eldon Roberts | Dermatology | 301 Fisher St, Keesler Afb, MS 39534 | 2014-03-11 |
| 1366726234 | Jared D Roberts | Dentist | 1751 W Orange Grove Rd, Suite 101, Tucson, AZ 85704-1192 | 2011-10-10 |
| 1164659389 | Jared Michael Roberts | Obstetrics & Gynecology | 800 Saint Vincents Dr Ste 500, Birmingham, AL 35205 | 2009-06-15 |
| Street Address |
1367 WASHINGTON AVE SUITE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12206-1069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174949 | Allen Laurence Carl | Orthopaedic Surgery | 1367 Washington Ave, Ste 200, Albany, NY 12206-1043 | 2005-06-15 |
| 1326678541 | Jared Paul Kaczynski | Registered Nurse | 1367 Washington Ave, Albany, NY 12206-1069 | 2020-01-16 |
| 1669034070 | Lauren Valenty | Physician Assistant | 1367 Washington Ave, Albany, NY 12206-1069 | 2019-07-05 |
| 1093295826 | Nicole Willard | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2018-08-21 |
| 1982078259 | Kelly Bartosik | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2015-11-24 |
| 1730585761 | Chelsea Mero | Physician Assistant | 1367 Washington Ave, Suite 200, Albany, NY 12206-1069 | 2014-11-19 |
| 1598186165 | Masha Senic | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-12-26 |
| 1952736373 | Kelly Molina | Physical Therapist | 1367 Washington Ave, Suite 100, Albany, NY 12206-1069 | 2013-09-04 |
| 1831433044 | Albany Medical College | General Practice | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-11-15 |
| 1720337942 | Brian Mcneaney | Physical Therapist | 1367 Washington Ave, Albany, NY 12206-1069 | 2012-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144749854 | Madena Lynn Henderson | Licensed Practical Nurse | 51 Garfield Pl, Albany, NY 12206 | 2017-09-13 |
| 1912456534 | Adeel A Janjua I | Contractor | 17 Roosevelt St, Albany, NY 12206 | 2016-09-23 |
| 1376901595 | Jacqueline Aimee Dall | Nurse Practitioner | 855 Central Avenue, Albany, NY 12206 | 2016-02-02 |
| 1326414210 | Sarah Walton | Pharmacist | 346 Central Ave, Albany, NY 12206 | 2015-08-14 |
| 1376932558 | Hope House, Inc. | Substance Abuse Rehabilitation Facility | 577 Livingston Ave., Albany, NY 12206 | 2015-01-12 |
| 1679993828 | Lori S. Matulewicz | Nurse Practitioner | 500 Central Ave., Equinox, Inc., Albany, NY 12206 | 2014-04-25 |
| 1437417995 | Ernest Nicola Chisena | Orthopaedic Surgery | 1367 Washington Avenue Suite 200, Albany, NY 12206 | 2012-05-02 |
| 1629368519 | Joseph M Rozell | Radiology | 255 Patroon Creek Blvd Apt 3439, Albany, NY 12206 | 2011-04-12 |
| 1346542404 | Melissa June Kowlessar | Licensed Practical Nurse | 69 Benson Street, Albany, NY 12206 | 2010-11-23 |
| 1316109796 | Edmund John Mcgrath | Podiatrist | 911 Central Avenue #24, Albany, NY 12206 | 2008-06-27 |
| Find all providers in zip 12206 | ||||
| Taxonomy Code | 207XS0114X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Adult Reconstructive Orthopaedic Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. |
| 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 |
|---|---|---|---|---|
| 1508928938 | Jon T Toussaint | Orthopaedic Surgery | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 | 2006-12-14 |
| 1457440240 | Paul P Hospodar | Orthopaedic Surgery | 1367 Washington Ave, Suite 200, Albany, NY 12206-1043 | 2006-10-12 |
| 1598717407 | Benjamin Franklin Thomas IIi | Orthopaedic Surgery | 2311 Lake Park Drive, Albany, GA 31707 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077760 | City Motion Orthopaedics Pllc | Orthopaedic Surgery | 51 E 25th St Fl 6, New York, NY 10010-8207 | 2020-03-05 |
| 1760967723 | William J Lackey Md PC | Orthopaedic Surgery | 153 W 27th St Ste 1101, New York, NY 10001-6251 | 2018-09-26 |
| 1427438753 | Cameron Yau | Orthopaedic Surgery | 50 E 76th St, Apt 5a, New York, NY 10021-2707 | 2015-06-02 |
| 1790027415 | Seth Korbin | Orthopaedic Surgery | Department of Orthopaedics Hsc T 18, Stony Brook University Medical Ctr, Stony Brook, NY 11794-8181 | 2013-03-20 |
| 1689973091 | Jonathan Robert Danoff | Orthopaedic Surgery | 611 Northern Blvd Ste 200, Great Neck, NY 11021-5208 | 2011-03-24 |
| 1689971434 | Dassa Orthopedic Medical Services, P.C. | Orthopaedic Surgery | 453 State Route 211 E, Middletown, NY 10940 | 2011-02-14 |
| 1215231485 | Abhijit Pawar | Orthopaedic Surgery | 400 E 71st St Apt 11-0, New York, NY 10021-4808 | 2011-01-03 |
| 1386963254 | Mcculloch Orthopaedic Surgical Services, Pllc | Orthopaedic Surgery | 12510 Queens Blvd Ste 9, Kew Gardens, NY 11415 | 2010-05-18 |
| 1194959577 | John J. Demarchi M.d., P.C. | Orthopaedic Surgery | 3673 Southwestern Blvd., Orchard Park, NY 14127-1732 | 2009-05-13 |
| 1811142367 | Amrit Goyal | Orthopaedic Surgery | 130 E 77th Street, Lenox Hill Hospital, New York, NY 10021 | 2008-11-25 |
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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.