JACOB EDWARD ROBERTS (NPI# 1831218817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831218817 |
| Entity Type | Individual |
| Full Name | JACOB EDWARD ROBERTS |
| Credential | D.O |
| Practice Address |
14555 Levan Rd Marion Professional Building Suite 311 Livonia MI 48154-5083 |
| Mailing Address |
7932 Goshen Dr West Bloomfield MI 48322-5002 |
| Practice Telephone | 7346552692 |
| Practice Fax Number | 7346554218 |
| Mailing Telephone | 2484177730 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 5101015635 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | BCBSM INDIV | 0256305894 | 01 |
| MI | BCBSM GRP | 010H233560 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871760751 | Jacob Odell Roberts | Chiropractor | 2413 N Meridian St, Indianapolis, IN 46208 | 2008-05-10 |
| 1851938526 | Jacob Stuart Roberts | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2019-12-02 |
| 1750861779 | Jacob Wesley Roberts | Physician Assistant | 200 Banning St, Dover, DE 19904-3485 | 2018-08-20 |
| 1487149191 | Jacob Roberts | Technician | 1701 N Green Valley Pkwy Ste 9a, Henderson, NV 89074-5991 | 2018-06-25 |
| 1811411218 | Jacob Scott Roberts | Registered Nurse | 12 Ingalls Court, Methoen, MA 01844 | 2017-07-28 |
| 1952696270 | Jacob S Roberts | Nurse Practitioner | 230 N 1680 E, Suite H1, Saint George, UT 84790-2579 | 2011-06-15 |
| 1790989945 | Jacob Benjamin Roberts | Physical Therapist | 1542 Elk Creek Dr, Suite B, Idaho Falls, ID 83404-8322 | 2007-06-12 |
| 1265474472 | Jacob Aaron Roberts | Emergency Medicine | 620 North Main, Harrison, AR 72601-2926 | 2006-06-12 |
| Street Address |
14555 LEVAN RD MARION PROFESSIONAL BUILDING SUITE 311 |
| City | LIVONIA |
| State | MI |
| Zip Code | 48154-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508862707 | Allen S Mehler | Podiatrist | 14555 Levan Rd, Ste E302, Livonia, MI 48154-5083 | 2005-06-22 |
| 1861931693 | Natalie Eve Khoury | Physician Assistant | 14555 Levan Rd, Suite 116, Livonia, MI 48154-5083 | 2017-02-13 |
| 1013365097 | Virtue Lung Institute PC | Clinic/Center | 14555 Levan Rd, Ste 309, Livonia, MI 48154-5083 | 2016-05-31 |
| 1376998682 | Kristina Lynn Benford | Nurse Practitioner | 14555 Levan Rd, Suite 113, Livonia, MI 48154-5083 | 2016-04-25 |
| 1134583552 | University Neurosurgical Associates, PC | Neurological Surgery | 14555 Levan Rd, Ste. 202, Livonia, MI 48154-5083 | 2016-04-12 |
| 1477929255 | Natalie Lois Crook | Registered Nurse | 14555 Levan Rd, Suite 311, Livonia, MI 48154-5083 | 2015-08-17 |
| 1831538545 | Michigan Surgery Specialists, P.C. | Hearing Aid Equipment | 14555 Levan Rd, Suite 303, Livonia, MI 48154-5083 | 2013-06-17 |
| 1942574058 | Mendelson Orthopedic Physical Therapy | Physical Therapist | 14555 Levan Rd, Suite 215, Livonia, MI 48154-5083 | 2012-03-07 |
| 1225306392 | St Mary Mercy Physician Practices | Clinic/Center | 14555 Levan Rd, Suite 112, Livonia, MI 48154-5083 | 2011-12-05 |
| 1942517511 | Sarah Shamoon | Physical Therapist | 14555 Levan Rd, Livonia, MI 48154-5083 | 2010-09-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699386227 | Iha Health Service Corporation | Durable Medical Equipment & Medical Supplies | Iha Associates In Podiatry, 14555 Levan Road Suite 116, Livonia, MI 48154 | 2020-08-17 |
| 1972130136 | Cameron Strong | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Hospital, 36475 Five Mile Road, Livonia, MI 48154 | 2020-03-26 |
| 1447894019 | Nova Pharmacy | Pharmacy | 15140 Levan Rd, Suite 40, Livonia, MI 48154 | 2019-11-06 |
| 1356992242 | Milly Baydoun | Registered Nurse | 36650 Five Mile Rd Ste 106, Livonia, MI 48154 | 2019-09-23 |
| 1861059396 | Align Family Chiropractic LLC | Clinic/Center | 19047 Middlebelt Rd, Livonia, MI 48154 | 2019-05-21 |
| 1619442159 | Ashley Vaduva | Counselor | 37677 Professional Center Dr Ste 110c, Livonia, MI 48154 | 2018-10-11 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1720578636 | New Beginnings Addiction & Counseling Services | Counselor | 27677 Professional Center Drive Suite 135, Livonia, MI 48154 | 2018-05-16 |
| 1831693670 | Robust Rehab Services, Inc. | Occupational Therapist | 32854 5 Mile Rd, Livonia, MI 48154 | 2018-03-19 |
| 1184139644 | Nova Pharmacy LLC | Pharmacy | 15140 Levan Rd Suite 40, Livonia, MI 48154 | 2017-12-06 |
| Find all providers in zip 48154 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760626436 | Viswanathan Rajagopalan | Surgery | 14290 Knolson St, Livonia, MI 48154-4759 | 2009-04-27 |
| 1043492911 | Floro D Rosario | Surgery | 15136 Levan Road, Livonia, MI 48154-5027 | 2007-12-03 |
| 1740373299 | Conrad Andrew Kawel IIi | Surgery | 20220 Farmington Rd, Livonia, MI 48152-1412 | 2006-10-02 |
| 1265479042 | Robert A Frank | Surgery | 28803 8 Mile Rd Ste 101, Livonia, MI 48152-2075 | 2006-06-01 |
| 1992751358 | Floro D Rosario Md PC | Surgery | 15136 Levan Rd, Livonia, MI 48154-5027 | 2006-05-26 |
| 1083698799 | Thomas Daniel Oweis | Surgery | 36475 5 Mile Rd, Attn: Trauma Services, Livonia, MI 48154-1971 | 2005-12-06 |
| 1235406620 | Conrad A Kawel IIi M D P C | Surgery | 20220 Farmington Rd, Livonia, MI 48152-1412 | 2011-11-29 |
| 1356590459 | Mazen M Bazzi | Surgery | 15370 Levan Road, Suite 1, Livonia, MI 48154-1903 | 2008-09-12 |
| 1871706770 | Bipinchandra Bhulabhai Patel | Surgery | 15370 Levan Road, Suite 1, Livonia, MI 48154-1903 | 2007-05-07 |
| 1669512786 | Regents of The Univ of Michigan- Ambulatory Ctr for Vein Treatment | Surgery | 19900 Haggerty Rd, Suite 105, Livonia, MI 48152-1053 | 2007-02-07 |
| Find all providers in LIVONIA | ||||
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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.