JUSTIN ROBERTS


Address: 333 S 38th St Ste E, Muskogee, OK 74401-4937
Phone: 9189105391

JUSTIN ROBERTS (NPI# 1962953158) 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) 1962953158
Entity Type Individual
Full Name JUSTIN ROBERTS
Credential NP-C
Practice Address 333 S 38th St Ste E
Muskogee
OK 74401-4937
Practice Telephone 9189105391
Practice Fax Number 9189105395
Mailing Telephone 9189105391
Mailing Fax Number 9189105395
Enumeration Date 2016-10-22
Last Update Date 2016-10-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
84805 OK Physician Assistants & Advanced Practice Nursing Providers
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
84805 OK Physician Assistants & Advanced Practice Nursing Providers

Other Providers JUSTIN ROBERTS

NPI Name Taxonomy Address Enumeration
1073880746 Justin L Roberts Dentist 807 Spring Forest Road, Raleigh, NC 27609 2011-11-24
1619057064 Justin W. Roberts Otolaryngology 501 West Pine Street, Farmington, MO 63640 2006-10-17
1407481146 Justin Hugh Roberts Physician Assistant 901 18th St E, Tifton, GA 31794-3648 2020-03-03
1063045425 Justin Ryan Roberts Pharmacist 2950 S Newburgh Rd, Wayne, MI 48184-1002 2020-02-13
1083260749 Justin Roberts Behavioral Analyst 600 N 1st St, Las Vegas, NV 89101-1904 2019-08-16
1881172419 Justin Roberts Optometrist 623 Atwells Ave, Providence, RI 02909-7403 2018-08-06
1548754054 Justin Roberts Dentist 301 S J T Stites St, Sallisaw, OK 74955-9302 2018-06-18
1255887915 Justin Roberts Spec/Tech, Pathology 2100 Stantonsburg Rd, Greenville, NC 27834-6028 2016-08-31
1174978563 Justin Douglas Roberts Student in an Organized Health Care Education/Training Program 355 Grand St, Jersey City, NJ 07302-4321 2016-05-04
1780047340 Justin Roberts Physical Therapist 4100 Lake Otis Pkwy Ste 106, Anchorage, AK 99508-5230 2016-03-31

Office Location

Street Address 333 S 38TH ST STE E
City MUSKOGEE
State OK
Zip Code 74401-4937

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508486978 Economy Pharmacy Pharmacy 3414 W. Okmulgee, Muskogee, OK 74401 2020-04-25
1831678390 Jaclyn Drass Nurse Practitioner 201 N 32nd St, Muskogee, OK 74401 2018-08-07
1225530710 Cliffetta J Harrison Case Management 619 N Main St., Muskogee, OK 74401 2018-03-01
1255700720 Wesley B Higgs Physical Therapist 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 2015-09-15
1699163626 Dependable Medical Diagnostics LLC Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 122 S. 38th, Muskoqee, OK 74401 2014-12-29
1134529928 Mednow Urgent Care Center LLC Clinic/Center 550 W Shawnee St, Muskogee, OK 74401 2014-08-28
1447676770 Ruby Johns Counselor 403 N 24th, Muskogee, OK 74401 2014-03-11
1417393380 Andreka Pace Counselor 223 W Southside Boulevard, Muskogee, OK 74401 2013-05-17
1730438342 Gordon Keith Harlin Social Worker 619 N Main, Muskogee, OK 74401 2012-08-29
1740565928 Channing Kathleen Burke Counselor 741 South 32nd Street, Muskogee, OK 74401 2011-10-19
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972104610 Progressing Forward Medical and Mental Health Services LLC Nurse Practitioner 9000 Nw 84th St, Yukon, OK 73099-8677 2020-11-07
1265031819 Michelle Gaviola Nurse Practitioner 14867 Stoney Ridge Ln, Skiatook, OK 74070 2020-10-23
1235783325 Julie Reid Nurse Practitioner 519 W South Park St, Broken Arrow, OK 74011-2435 2019-07-28
1316504012 Malinda Kaye Reece Nurse Practitioner 15909 Stoneview Dr, Oklahoma City, OK 73170-7628 2019-05-29
1235603606 Lori Kimberly Scott Nurse Practitioner 4320 Avalon Ct, Oklahoma City, OK 73120-8175 2019-01-18
1093280349 Christie Deloris Shelly Nurse Practitioner 1120 S Utica Ave Ste 460, Tulsa, OK 74104-4090 2018-10-12
1285113274 Millicent Olulade Nurse Practitioner 101 Park Ave Ste 1310, Oklahoma City, OK 73102-7216 2018-08-09
1437648201 Wendy Wilbur Nurse Practitioner 816 Crown Heights Ln, Purcell, OK 73080-9717 2018-05-07
1225542905 Chan Vannarath Nurse Practitioner 13401 Three Oaks Dr, Jones, OK 73049-8539 2017-11-17
1053787283 Amanda Combs Nurse Practitioner 202 Beam Ln, Pocola, OK 74902-2463 2015-08-11
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Competitor

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City MUSKOGEE
Zip Code 74401

Improve Information

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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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