Jeremy Allan Roberts

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

9495 Harvard Blvd
Youngstown, OH 44514-3369

Phone

(855) 292-9778

NPI assigned

Jun 7, 2022

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)

Not enrolled

Practice roles

Locations

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

• Broadway Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Youngstown, OH
  • NPI 1861017683
  NPD

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1699404491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9495 HARVARD BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143369",
            "telephone_number": "855-292-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9495 HARVARD BLVD",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445143369",
            "telephone_number": "855-292-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JEREMY",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert G. Spratt, M.D. Inc.
• Robert J. Brocker M.D., Inc.
• Robert L Collins,M.D.,Inc.
• Angela Leung Roberts, MD
• Gina Roberts, LPN
• Rachel L Roberts, PRS
• Stacey A. Roberts, MA
• Sterling Joseph Roberts
• Anna Robinson
• Arrelle Robinson

• Case Manager/Care Coordinator in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.