Wanda Roberton, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MD00018181 Issued in WA

Practice address

32020 1St Ave S
Suite 115
Federal Way, WA 98003-5717

Phone

(253) 838-6556

Fax

(253) 661-4523

NPI assigned

Sep 30, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1730272147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S",
            "address_2": "SUITE 115",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035717",
            "telephone_number": "253-838-6556",
            "fax_number": "253-661-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32020 1ST AVE S",
            "address_2": "SUITE 115",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035717",
            "telephone_number": "253-838-6556",
            "fax_number": "253-661-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTON",
        "first_name": "WANDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00018181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "RA98",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Roark, OT
• Marilyn I Robbins, LMHC
• Robert Andrew Beaty, DDS, PLLC
• Robert L Frerichs, MD PLLC
• Robert McLaughlin MD Inc PS
• Julie Johnson Roberts, M.D.
• Mark William Roberts, M.D.
• Sandy Roberts
• Erin L Robertson, PT
• Robin E Reinke, DDS, PLLC

• General Practice Physician in Federal Way, WA
• Providers in Federal Way, WA by specialty
• General Practice Physician in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.