VIOLET ROBERSON DO NPI 1578536207

NPI Information

NPI: 1578536207
Provider Name: VIOLET ROBERSON, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1215 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 391-7800
Get Directions

Violet Roberson, DO is a family medicine in Rockford, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Violet Roberson, DO NPI is 1578536207. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1215 N ALPINE RD
ROCKFORD, IL
ZIP 61107-201
Phone: (815) 391-7800

The NPI 1578536207 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/13/2006 and was last updated on 2/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083X0100X	Preventive Medicine	Occupational Medicine	036114499	ILLINOIS	No
2	207Q00000X	Family Medicine		54043	WISCONSIN	No
3	207Q00000X	Family Medicine		036114499	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G90245	MEDICARE UPIN
2	ROBERANN	OTHER	WISCONSIN	MERCYCARE INSURANCE
3	K21772	MEDICARE ID-TYPE UNSPECIFIED
4	036114499	MEDICAID	ILLINOIS
5	541760703	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »