Richard S Roberts (NPI# 1154319176, PAC ID# 0244230423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1154319176 |
| PAC ID by PECOS | 0244230423 |
| Professional Enrollment ID | I20070111000686 |
| Full Name | Richard S Roberts |
| Address |
3500 Cedar St North Bend OR 97459-1108 |
| Gender | M |
| Credential | DDS |
| Medical School | UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY |
| Graduation Year | 1998 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380090 | BAY AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3500 Cedar St, North Bend, OR 97459-1108 |
| Street Address |
3500 CEDAR ST |
| City | NORTH BEND |
| State | OR |
| Zip | 97459-1108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melody L Sheldon | Qualified Speech Language Pathologist | 2085 Inland Dr A, North Bend, OR 97459-1203 | |
| William A Bennett | Podiatry | 2085 Inland Dr, Suite B, North Bend, OR 97459-1203 | |
| Ronald M St Jean | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Kathleen Emma Voge | Clinical Social Worker | Waterfall Clinic Incorporated | 1950 Waite St, North Bend, OR 97459-1228 |
| Shirley D Reynolds | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Pernilla Johansson | Clinical Social Worker | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| David W Walker | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| Pei J Purdom | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Yvonne L Fenrich | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, Suite 1, North Bend, OR 97459-1229 |
| Toyin A Akanni | Nurse Practitioner | Waterfall Clinic Incorporated | 1890 Waite St, North Bend, OR 97459-1229 |
| Find all physicians in zip 97459 | |||
| City | NORTH BEND |
| Zip Code | 97459 |
| Specialty | ORAL SURGERY |
| City + Specialty | NORTH BEND + ORAL SURGERY |
Please comment or provide details below to improve the information on Richard S Roberts.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.