Individual provider Active NPI

Gregory Roby

  • Peer Specialist
  • Wheeling, WV
National Provider Identifier
1538876362
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
22-901 Issued in WV
Practice address
1819 Wood St
Wheeling, WV 26003-3607
Phone
(304) 234-3570
NPI assigned
Nov 1, 2022
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 22-901 WV Primary

Addresses

Primary practice location

1819 Wood St
Wheeling, WV 26003-3607

Mailing address

1819 Wood St
Wheeling, WV 26003-3607
Phone (304) 234-3570

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL groby@northwoodhealth.com

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

State licenses

LicenseStateTypeSpecialty
22-901WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Systems Inc CurrentSince Jan 1, 2023 Accepting new patients
Northwood Health Systems Inc CurrentSince Oct 8, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1538876362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 WOOD ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033607",
            "telephone_number": "304-234-3570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WOOD ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033607",
            "telephone_number": "304-234-3570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "22-901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "groby@northwoodhealth.com",
            "affiliation": "N",
            "address_1": "1819 Wood St",
            "city": "Wheeling",
            "state": "WV",
            "country_code": "US",
            "postal_code": "260033607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.