Active NPI
William Joseph Roberts Jr., CSA
- Surgical Assistant
- Chesapeake, VA
National Provider Identifier
1285876953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Practice address
- 237 Hanbury Rd E
Suite 17 #242
Chesapeake, VA 23322-6621 - Phone
- (757) 630-0155
- NPI assigned
- Mar 27, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
237 Hanbury Rd E
Suite 17 #242
Chesapeake, VA 23322-6621
Mailing address
237 Hanbury Rd E
Suite 17 #242
Chesapeake, VA 23322-6621
Phone (757) 630-0155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1285876953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 HANBURY RD E",
"address_2": "SUITE 17 #242",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226621",
"telephone_number": "757-630-0155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "237 HANBURY RD E",
"address_2": "SUITE 17 #242",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233226621",
"telephone_number": "757-630-0155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-27",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.