Tisa O Roberts (NPI# 1942342159, PAC ID# 7719088624) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942342159 |
| PAC ID by PECOS | 7719088624 |
| Professional Enrollment ID | I20070723000339 |
| Full Name | Tisa O Roberts |
| Organization Legal Name | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| Address |
801 Williford St Rocky Mount NC 27803-3825 |
| Phone Number | 2524518519 |
| Gender | F |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173563590 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340147 | NASH GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1041 Noell Lane, Medical Plaza B, Rocky Mount, NC 27804-2058 | 2529623450 | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| 300 N Grace St, Rocky Mount, NC 27804-5345 | 2524463333 | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| 801 Williford St, Rocky Mount, NC 27803-3825 | 2524518519 | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2522123350 | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| Organization Legal Name | OPPORTUNITIES INDUSTRIALIZATION CENTER, INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanpreet Dhaliwal | Physician Assistant | Opportunities Industrialization Center, Inc | 300 N Grace St, Rocky Mount, NC 27804-5345 |
| Elia Xiomara Cabrera | Physician Assistant | Opportunities Industrialization Center, Inc | 111 S Fairview Rd, Rocky Mount, NC 27801-6971 |
| Evelyn Rudo Majachani | Nurse Practitioner | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Christa Fleming | Physician Assistant | Opportunities Industrialization Center, Inc | 801 Williford St, Rocky Mount, NC 27803-3825 |
| Nana Fosuwa Arkhurst-arthur | Nurse Practitioner | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Maisha Pesante | Family Medicine | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Tiffany D Tyson | Nurse Practitioner | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Jevita D Terry | Nurse Practitioner | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Nelson R Ehly | Physician Assistant | Opportunities Industrialization Center, Inc | 111 S Fairview Rd, Rocky Mount, NC 27801-6971 |
| Gregory William Walter | Nurse Practitioner | Opportunities Industrialization Center, Inc | 260 Albemarle Ave, Rocky Mount, NC 27801-5303 |
| Street Address |
801 WILLIFORD ST |
| City | ROCKY MOUNT |
| State | NC |
| Zip | 27803-3825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christa Fleming | Physician Assistant | Opportunities Industrialization Center, Inc | 801 Williford St, Rocky Mount, NC 27803-3825 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane V Henderson | Clinical Social Worker | 1634 Marvelle Ave, Rocky Mount, NC 27803-2326 | |
| Lawanda A Pulley | Nurse Practitioner | 1107 W Raleigh Blvd, Rocky Mount, NC 27803-2767 | |
| William A Munn | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
| Sean M Epps | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
| Michael L Dial | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
| John V Puthenveetil | Cardiovascular Disease (cardiology) | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
| Charles Hunter | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
| City | ROCKY MOUNT |
| Zip Code | 27803 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROCKY MOUNT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tisa O 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.