Katie Renee Roberts in Grove City - Physician Assistant
Katie Renee Roberts - NPI 1134396518
Katie Renee Roberts is a Physician Assistant in Grove City, Pennsylvania. Katie Renee Roberts practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Katie Renee Roberts is 1134396518. The last update date is 2021-09-11.
Katie Renee Roberts's current location address is 647 N Broad Street Ext, Grove City, Pennsylvania. You can contact this provider via phone number 7242644190 and fax number 7242644194. The mailing address for Katie Renee Roberts is 647 N Broad Street Ext, Grove City, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katie Renee Roberts |
|---|---|
| Address | 647 N Broad Street Ext, Grove City, Pennsylvania |
| Phone Number | 7242644190 |
| Fax Number | 7242644194 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1134396518 |
|---|---|
| Provider Enumeration Date | 2008-05-14 |
| Last Updated Date | 2021-09-11 |
Provider Mailing Address Detail
| Address | 647 N Broad Street Ext |
|---|---|
| City | Grove City |
| State | Pennsylvania (PA) |
| Post Code | 161274604 |
| Phone Number | 7242644190 |
| Fax Number | 7242644194 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | MA052721 |
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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 |
|---|---|---|---|
| 11976922 | CAQH | ||
| 1J4395 | PA | -- |
Post Comment/ Review Below
What is the Katie Renee Roberts's unique identification number?
The Katie Renee Roberts has been assigned the NPI (National Provider Identifier) Number 1134396518 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Katie Renee Roberts is physically located?
The Katie Renee Roberts is situated at the following address: 647 N Broad Street Ext, Grove City, PA 161274604.
What is Katie Renee Roberts's area of expertise and its corresponding taxonomy classification?
The Katie Renee Roberts's field of specialization is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Katie Renee Roberts receive its 1134396518 assignment from the Centers for Medicare & Medicaid Services?
The Katie Renee Roberts was assigned its 1134396518 by the Centers for Medicare & Medicaid Services on 2008-05-14.
As of what date was the information regarding Katie Renee Roberts, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Katie Renee Roberts, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-11.