Michael James Roberts, STNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

400413421004 Issued in OH

Practice address

2200 Randolph Rd
Mogadore, OH 44260-9345

Phone

(330) 628-8406

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073615761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 CHELSEA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 RANDOLPH RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442609345",
            "telephone_number": "330-628-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "STNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OH",
            "license": "400413421004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal M Price
• Deborah J Price
• R L Dennis DDS, LLC
• Cheryl Reed
• Kelene R Ritter
• Hannah Schenault, LMSW
• Chad R Shillingburg
• Gianna Christine Simonetti
• Marianne Smith
• Tracy Erica Smith

• Nurse's Aide in Mogadore, OH
• Providers in Mogadore, OH by specialty
• Nurse's Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.