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STANLEY DWAYNE ROBERTS MD NPI 1316993520


NPI Information

NPI: 1316993520
Provider Name: STANLEY DWAYNE ROBERTS, MD
Classification: Family Medicine - 207QS0010X
Entity Type: Individual

Specialization: Sports Medicine

Address:
118 N MAIN ST
STE B
SALEM, UT
ZIP 84653
Phone: (801) 477-9007
Get Directions

Stanley Dwayne Roberts, MD is a sports medicine family medicine in Salem, UT. The provider is a family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Stanley Dwayne Roberts, MD NPI is 1316993520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

118 N MAIN ST
STE B
SALEM, UT
ZIP 84653-698
Phone: (801) 477-9007

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/9/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0004XEmergency MedicineEmergency Medical Services276489UTAHNo
2207QS0010XFamily MedicineSports Medicine276489-1205UTAHYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1$$$$$$$$$11001OTHERUTAHBCBS
2F80092MEDICARE UPIN
352892628603001OTHERBCBS
4D1423MEDICAIDUTAH
5174069OTHERUTAHDESERET MUTUAL
6P00221212OTHERRAILROAD MEDICARE
7002330024MEDICARE PIN
8107018542102OTHERUTAHSELECT HEALTH
9005787609MEDICARE PINUTAH
10P00228767MEDICARE PINUTAH
1187148OTHERUTAHPEHP

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: 4/28/2024

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.