Robert Versal Robey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00064 Issued in TX

Practice address

4301 Maplewood Ave
Ste a
Wichita Falls, TX 76308-3879

Phone

(940) 696-8500

Fax

(940) 696-8546

NPI assigned

Jul 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Little Black Bag House Calls LLC

  • General Practice Physician
  • Wichita Falls, TX
  • NPI 1376078881
  Medicare reassignment

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710907001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MAPLEWOOD AVE",
            "address_2": "STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083879",
            "telephone_number": "940-696-8500",
            "fax_number": "940-696-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MAPLEWOOD AVE",
            "address_2": "STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083879",
            "telephone_number": "940-696-8500",
            "fax_number": "940-696-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBEY",
        "first_name": "ROBERT",
        "middle_name": "VERSAL",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA00064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX PA LICENSE",
            "identifier": "PA00064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Brooke Roberts, H.I.S.
• Deirdre Robertson, CST
• Kasey Monica Robertson, NP-C
• Nakeya Robertson
• Roxanna Robertson, N.P
• Nancy Robinette, APRN
• Jodie Marie Robinson, APRN
• Kim Elizabeth Robinson, PHD
• Penny Raychel Robinson, LBSW
• William W. Robison, M.D.

• Medical Physician Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.