Mark A. Roberts, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME83611 Issued in FL

Practice address

1240 81St Street South
St. Petersburg, FL 33707

Phone

(727) 345-7434

Fax

(727) 345-7434

NPI assigned

Oct 2, 2006

Last updated

Jun 14, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Careservices of Central Florida LLC

  dba AllianceCare

  • Home Health Agency
  • Orlando, FL
  • NPI 1295788495
  NPD (past)
• Mobile Medical Industries Inc

  dba AllianceCare

  • Primary Care Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1528019247
  NPD (past)
• Synergy Health Centers Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1275659807
  NPD (past)
• Trillium Medical Group of Florida

  • General Practice Physician
  • Lutz, FL
  • NPI 1285835322
  NPD (past)
• Florida Care Level Management Direct, LLC

  • General Practice Physician
  • Calabasas, CA
  • NPI 1770569220
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1689767691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108407",
            "telephone_number": "727-343-9100",
            "fax_number": "727-343-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 81ST STREET SOUTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33707",
            "telephone_number": "727-345-7434",
            "fax_number": "727-345-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME83611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Brooke Roberts, LCSW
• Lateisha Shantrell Roberts
• Laura Michele Roberts, PT
• Lena Roberts, LMT
• Maria Roberts
• Melissa Roberts, APRN
• Shari Roberts, FNP
• Nakiia Robeson, PSYD
• Sarah Robey, APRN
• Santos L Robinson Maita, DMD

• Family Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.