MR. KEITH WESLEY ROBERTS (NPI# 1811385776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811385776 |
| Entity Type | Individual |
| Full Name | MR. KEITH WESLEY ROBERTS |
| Credential | PA-C |
| Practice Address |
2800 Blue Ridge Rd Suite 400 Raleigh NC 27607-6478 |
| Mailing Address |
5050 Edwards Mill Rd Apartment D Raleigh NC 27612-4439 |
| Practice Telephone | 9197875380 |
| Mailing Telephone | 5409153487 |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2016-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 001006432 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 25MP00362300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770810277 | Keith Eugene Roberts | Doula | 610 Pioneer Ln, Colorado Springs, CO 80904-1743 | 2009-11-04 |
| 1356590525 | Keith A Roberts | Optometrist | 5855 Reliable Pkwy, Chicago, IL 60686-0001 | 2008-09-12 |
| 1538387535 | Keith E Roberts | Chiropractor | 224 Birmingham Dr Ste 1a1, Cardiff, CA 92007-1743 | 2007-04-23 |
| 1073886503 | Keith Gordon Roberts | Pharmacist | 1204 Nw 6th St, Grants Pass, OR 97526-1254 | 2012-02-14 |
| 1245320340 | Keith F. Roberts Jr. | Surgery | 105 Us Highway 80 E, Suite 215, Demopolis, AL 36732-3605 | 2006-10-13 |
| 1487652145 | Keith M Roberts | Obstetrics & Gynecology | 439 Jennick Dr, Colonial Heights, VA 23834-4901 | 2005-07-07 |
| Street Address |
2800 BLUE RIDGE RD SUITE 400 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27607-6478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335147 | Woodward Cannon | Surgery | 2800 Blue Ridge Rd, Ste 503, Raleigh, NC 27607-6477 | 2005-06-08 |
| 1134614050 | Shannon Dorothy Couture | Nurse Practitioner | 2800 Blue Ridge Rd, Raleigh, NC 27607 | 2018-06-23 |
| 1043703523 | Meredith Leigh Shillinglaw | Physician Assistant | 2800 Blue Ridge Rd, Raleigh, NC 27607 | 2018-06-11 |
| 1730629296 | Linh Thuc Nguyen | Nurse Practitioner | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2017-03-03 |
| 1700320595 | Kathryn Star Salisbury | Nurse Practitioner | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2016-12-13 |
| 1336598952 | Melissa Jennings Lunsford | Nurse Practitioner | 2800 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-6478 | 2016-06-04 |
| 1821479213 | Jessica Wrench | Nurse Practitioner | 2800 Blue Ridge Rd, Raleigh, NC 27607-6478 | 2015-06-11 |
| 1255720801 | Karen Monger | Nurse Practitioner | 2800 Blue Ridge Rd, Suite 204, Raleigh, NC 27607-6478 | 2015-01-21 |
| 1912338054 | Rex Hospital Inc | Surgery | 2800 Blue Ridge Rd, Suite 300, Raleigh, NC 27607-6478 | 2013-11-27 |
| 1972939643 | Rex Hospital Inc | Internal Medicine | 2800 Blue Ridge Rd, Suite 400, Raleigh, NC 27607-6478 | 2013-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093144 | Kyndra Lawson | Behavior Technician | 5121 Kingdom Way, Suite 100, Raleigh, NC 27607 | 2018-05-14 |
| 1578082905 | Margaret Roberts Bova | Dietitian, Registered | 4207 Lake Boone Trail, Suite 210, Raleigh, NC 27607 | 2017-09-18 |
| 1184141897 | Chricat Garrard | Nurse Practitioner | 4207 Lake Boone Trl Ste 200, Raleigh, NC 27607 | 2017-08-23 |
| 1487178620 | John Patrick Morton | Pharmacist | 2411 Landmark Dr, Raleigh, NC 27607 | 2017-07-31 |
| 1023538857 | Heather Margaret Mazzola | Audiologist | 7800 Lake Boone Trail, 100, Raleigh, NC 27607 | 2017-06-22 |
| 1790216984 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2411 Landmark Drive, Raleigh, NC 27607 | 2017-03-21 |
| 1558819516 | Corilin Nocito Meggitt | Nurse Practitioner | 4505 Fair Meadows Ln Ste 102, Raleigh, NC 27607 | 2016-09-19 |
| 1942757034 | Stacie Walker | Obstetrics & Gynecology | 4414 Lake Boone Trl Ste 311, Raleigh, NC 27607 | 2016-09-06 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1235598632 | Yoseph Saleh | Dentist | 107 Minden Ln, Raleigh, NC 27607 | 2016-02-15 |
| Find all providers in zip 27607 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961682 | Megan Kathleen Brown | Physician Assistant | 3024 New Bern Ave Ste 102, Raleigh, NC 27610-1247 | 2020-08-03 |
| 1124640651 | Kayla Marie Sincock | Physician Assistant | 12205 Harcourt Dr, Raleigh, NC 27613-5603 | 2020-05-06 |
| 1093340531 | Hannah Stanifer | Physician Assistant | 510 N Wilmington St Apt 227, Raleigh, NC 27604-8021 | 2020-03-05 |
| 1962035642 | Brianna Stolz | Physician Assistant | 3811 Ed Dr Ste 110, Raleigh, NC 27612-2393 | 2020-02-20 |
| 1316577737 | Jacey Elizabeth Byers | Physician Assistant | 700 Hawes Ct Apt C, Raleigh, NC 27608-1745 | 2020-01-24 |
| 1033756598 | Julie A Romeis | Physician Assistant | 1929 N Hills Dr Unit G, Raleigh, NC 27612-4022 | 2019-12-04 |
| 1346886769 | Pooja Parmar | Physician Assistant | 8804 Bluff Pointe Ct, Raleigh, NC 27615-4172 | 2019-11-20 |
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1790343192 | Savanah Palen Mullen | Physician Assistant | 10208 Cerny St Ste 204, Raleigh, NC 27617-7885 | 2019-05-31 |
| 1356906184 | Andrew Paul Apicella | Physician Assistant | 3024 New Bern Ave Ste 302, Raleigh, NC 27610-1247 | 2019-05-07 |
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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.