CARSON ROBERTS


Address: 750 Broadway Ste 350, Fort Wayne, IN 46802-1412
Phone: 2604232675

CARSON ROBERTS (NPI# 1902420789) 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) 1902420789
Entity Type Individual
Full Name CARSON ROBERTS
Credential DO
Practice Address 750 Broadway Ste 350
Fort Wayne
IN 46802-1412
Practice Telephone 2604232675
Practice Fax Number 2604236621
Mailing Telephone 2604232675
Mailing Fax Number 2604236621
Enumeration Date 2020-06-08
Last Update Date 2020-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 11021038A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 750 BROADWAY STE 350
City FORT WAYNE
State IN
Zip Code 46802-1412

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144555855 Paula A. Neuman Psychologist 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2009-10-14
1598382293 Luna Wahab Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-29
1568088557 Karla Allen Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-25
1598381295 Laura Marie Fulkerson Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-19
1013533926 Courtney Marie Jackson Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-17
1538784566 Amber Denise Grandison Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-16
1346865516 Nicholas Daniel Panting Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-12
1215551007 Maria Manuela Snyder Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-08
1285258053 Kenan Alibegovic Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-08
1417571209 Corey Aaron Snyder Family Medicine 750 Broadway Ste 350, Fort Wayne, IN 46802-1412 2020-06-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568084416 Renaissance Counseling Center,llc Community/Behavioral Health 1210 Guthrie St, Fort Wayne, IN 46802 2020-05-14
1699260182 Tina Huffman Counseling Services LLC Clinic/Center 2323 111 W. Berry St., Fort Wayne, IN 46802 2018-06-27
1669879664 Neighborhood Health Clinics, Inc Clinic/Center 1721 S Calhoun St, Fort Wayne, IN 46802 2014-11-20
1205272168 Tyler Jerome Kimmel Dentist 1717 S. Calhoun Street, Fort Wayne, IN 46802 2013-05-20
1174899405 Hearcare Connection, Inc. Audiologist 130 W Main St Ste 150, Fort Wayne, IN 46802 2012-03-30
1801114533 Hoosier Sports & Chiropractic LLC Chiropractor 122 W Wayne Street, Fort Wayne, IN 46802 2010-05-05
1891912523 Krista Lohmar Speech-Language Pathologist 3340 North Washington Road, Ft. Wayne, IL 46802 2007-04-20
1811047608 Catholic Charities of The Diocese of Fort Wayne-south Bend, Inc. Counselor 915 South Clinton, Fort Wayne, IN 46802 2007-01-12
1548323801 Clifford T Salk Dentist 122 W Washington Blvd, Fort Wayne, IN 46802 2006-12-18
1720155492 Kristina Wise Social Worker 203 W Wayne St Ste 317, Fort Wayne, IN 46802 2006-11-29
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760912026 Christina A Tatara Family Medicine 6511 E State Blvd, Fort Wayne, IN 46815-7026 2017-06-19
1700317633 Robert Campbell Family Medicine 7411 Hope Dr, Fort Wayne, IN 46815-5687 2017-03-22
1487196424 American Vein Institute LLC Family Medicine 10020 Dupont Circle Ct Ste 140, Fort Wayne, IN 46825-1621 2016-11-08
1831547124 Anna Menze Family Medicine 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN 46825-1633 2016-05-27
1407203672 Credo Health Group, LLC Family Medicine 10228 Dupont Circle Dr E # 100b, Fort Wayne, IN 46825-1611 2016-05-18
1649625104 Gabrielle Paloma Acquaro Family Medicine 7806 W Jefferson Blvd Ste E, Fort Wayne, IN 46804-4180 2016-05-03
1720491731 John E Marx Family Medicine 1007 W Rudisill Blvd, Fort Wayne, IN 46807-2170 2014-06-06
1457763252 Amy Simpson Family Medicine 1818 Carew St Ste 120, Fort Wayne, IN 46805-4764 2014-05-28
1932536083 Clifford James Shultz Family Medicine 2616 Covington Pointe Trl, Fort Wayne, IN 46804-2773 2013-10-03
1164860086 Andrew J Mullally Family Medicine 10050 Auburn Park Dr, Fort Wayne, IN 46825-2389 2013-06-13
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Competitor

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City FORT WAYNE
Zip Code 46802

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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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