NPIMap

Organization Active NPI

Ann E Roberts MD PSC

  • General Practice Physician
  • Lagrange, KY
National Provider Identifier
1760414197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ANN E ROBERTS MD PSC
Practice address
1031 New Moody Lane
Ste 200
Lagrange, KY 40031
Phone
(502) 222-3312
Fax
(502) 222-2217
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ann E Roberts, MDNPI 1437145695
Title
Owner Pres
Phone
(502) 222-3312

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1031 New Moody Lane
Ste 200
Lagrange, KY 40031

Mailing address

1031 New Moody Lane
Ste 200
Lagrange, KY 40031
Phone (502) 222-3312

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760414197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 NEW MOODY LANE",
            "address_2": "STE 200",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "40031",
            "telephone_number": "502-222-3312",
            "fax_number": "502-222-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 NEW MOODY LANE",
            "address_2": "STE 200",
            "city": "LAGRANGE",
            "state": "KY",
            "postal_code": "40031",
            "telephone_number": "502-222-3312",
            "fax_number": "502-222-2217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN E ROBERTS MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "502-222-3312",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.