SHELBY S ROBERTS PA-C NPI 1619165354

NPI Information

NPI: 1619165354
Provider Name: SHELBY S ROBERTS, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
9500 EUCLID AVE
A10
CLEVELAND, OH
ZIP 44195
Phone: (216) 218-6788
Get Directions

Shelby S Roberts, PA-C is a surgical physician assistant in Cleveland, OH. Shelby S Roberts, PA-C NPI is 1619165354. 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:

9500 EUCLID AVE
A10
CLEVELAND, OH
ZIP 44195-001
Phone: (216) 218-6788

The NPI 1619165354 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 10/9/2007 and was last updated on 9/15/2011.

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	363AS0400X	Physician Assistant	Surgical	245256	NEW YORK	No
2	363A00000X	Physician Assistant		085.003498	ILLINOIS	No
3	363AS0400X	Physician Assistant	Surgical	003285	OHIO	Yes

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

NPI Synchronization or Removal

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