DR. ERIC JUSTIN ROBERTS (NPI# 1962630004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962630004 |
| Entity Type | Individual |
| Full Name | DR. ERIC JUSTIN ROBERTS |
| Credential | DPM |
| Practice Address |
2191 9th Ave N Ste 150 St Petersburg FL 33713-7146 |
| Mailing Address |
2191 9th Ave N # 150 Saint Petersburg FL 33713-7146 |
| Practice Telephone | 7274241422 |
| Practice Fax Number | 8882290143 |
| Mailing Telephone | 7279545525 |
| Mailing Fax Number | 8882290143 |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO3551 | FL | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
P77589 | NY | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
SC006136 | PA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972688927 | Eric Scott Roberts | Counselor | 914 Mission Ave, 3rd Floor, San Rafael, CA 94901-6106 | 2006-10-26 |
| 1255375291 | Eric Deloy Roberts | Physical Therapist | 185 Pevero Dr, Idaho Falls, ID 83401-6318 | 2006-06-16 |
| 1205296613 | Eric D Roberts | Physician Assistant | 146 E Hospital Dr Ste 400, West Columbia, SC 29169-4800 | 2016-02-26 |
| 1740665603 | Eric Roberts | Pharmacist | 111 N Bowman Rd, Little Rock, AR 72211-2783 | 2015-07-21 |
| 1235536939 | Eric Daniel Roberts | Physician Assistant | 111 N Nappanee St, Elkhart, IN 46514 | 2014-11-24 |
| 1336576677 | Eric N Roberts | Physician Assistant | 101 Chad St, Clover Fork Clinic, Evarts, KY 40828-8200 | 2013-10-01 |
| 1508154758 | Eric Steve Roberts | Pharmacist | 4141 Ne Stephens St, Roseburg, OR 97470-1161 | 2011-07-20 |
| 1912210105 | Eric Wayne Roberts | Nurse Anesthetist, Certified Registered | 1000 S Beckham Ave, Anesthesia Department, Tyler, TX 75701-1908 | 2010-07-16 |
| 1982921748 | Eric Edward Roberts | Surgery | 1711 N Mckenzie St Ste 201, Foley, AL 36535-2282 | 2010-05-03 |
| 1407010879 | Eric G Roberts | Internal Medicine | 2900 W Oklahoma Ave, 4th Floor Galleria, Milwaukee, WI 53215 | 2008-07-15 |
| Street Address |
2191 9TH AVE N STE 150 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33713-7146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962969998 | Eric J Roberts Md | Podiatrist | 2191 9th Ave N # 150, St Petersburg, FL 33713-7146 | 2019-02-26 |
| 1184757635 | Florida Coast Foot & Ankle Pa | Podiatrist | 1001 37th Street North, Suite F, St Petersburg, FL 33713-6010 | 2007-03-13 |
| 1891806667 | Darall J Moore | Podiatrist | 4200 Central Ave, St Petersburg, FL 33711-1140 | 2006-08-31 |
| 1669483517 | Julian Robert Menendez | Podiatrist | 5415 Park St N, Suite C, St Petersburg, FL 33709-1087 | 2006-08-10 |
| 1609801687 | Douglas Brian Moss | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2006-07-11 |
| 1013966753 | Chris M Powell | Podiatrist | 5027 Central Ave, St Petersburg, FL 33710-8240 | 2006-05-09 |
| 1053373241 | Robin M Katz | Podiatrist | 6600 34th Ave N, St Petersburg, FL 33710-1515 | 2006-04-04 |
| 1114584125 | Moss Restorative Foot & Ankle Center, Pllc | Podiatrist | 7855 38th Ave N Ste 200, St Petersburg, FL 33710-1134 | 2019-05-24 |
| 1184076069 | Derek Alan Pawich | Podiatrist | 1401 16th St N, St Petersburg, FL 33704-4123 | 2016-07-05 |
| 1932399458 | Katz Medical Associates P A | Podiatrist | 6600 34th Ave N, St Petersburg, FL 33710-1515 | 2007-07-31 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33713 |
Please comment or provide details below to improve the information on DR. ERIC JUSTIN ROBERTS.
| 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.