Katherine Jo Roberts in Fort Myers - Physician Assistant
Katherine Jo Roberts - NPI 1366474090
Katherine Jo Roberts is a Physician Assistant in Fort Myers, Florida. Katherine Jo Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katherine Jo Roberts is 1366474090. The last update date is 2017-02-07.
Katherine Jo Roberts's current location address is 39 Barkley Cir, Fort Myers, Florida. You can contact this provider via phone number 2399361616 and fax number 2399360837. The mailing address for Katherine Jo Roberts is 39 Barkley Cir, Fort Myers, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Jo Roberts |
|---|---|
| Address | 39 Barkley Cir, Fort Myers, Florida |
| Phone Number | 2399361616 |
| Fax Number | 2399360837 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1366474090 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2017-02-07 |
Provider Mailing Address Detail
| Address | 39 Barkley Cir |
|---|---|
| City | Fort Myers |
| State | Florida (FL) |
| Post Code | 339077531 |
| Phone Number | 2399361616 |
| Fax Number | 2399360837 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA9102961 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1026801 | FL | STAYWELL (MEDICAID) AND WELLCA | |
| P1023220 | FL | FREEDOM | |
| Y09W3 | FL | BCBS | |
| 398636 | FL | AVMED | |
| P01283318 | FL | RAILROAD MCR | |
| 10879800 | FL | -- | |
| 5616875 | FL | AETNA | |
| P961417 | FL | OPTIMUM |
Post Comment/ Review Below
What is Katherine Jo Roberts's specialized field of practice, and what is the corresponding taxonomy classification code?
The Katherine Jo Roberts's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
What is Katherine Jo Roberts's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Katherine Jo Roberts is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1366474090 assigned to Katherine Jo Roberts?
The Katherine Jo Roberts was issued its 1366474090 on 2006-07-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Katherine Jo Roberts receive the assignment of its 1366474090 from the Centers for Medicare & Medicaid Services?
The Katherine Jo Roberts was issued its 1366474090 by the Centers for Medicare & Medicaid Services on 2006-07-06.
When was the information regarding Katherine Jo Roberts most recently updated?
The details pertaining to the Katherine Jo Roberts, including its address, specialty, and other relevant information, were last refreshed on 2017-02-07.
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