Active NPI
Mark McRoberts, MD
- Internal Medicine Physician
- Akron, OH
National Provider Identifier
1902885254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-049045-M
- Practice address
- 3043 Sanitarium Rd
Ste. 1
Akron, OH 44312-4600 - Phone
- (330) 628-4044
- Fax
- (330) 628-3005
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-049045-M | OH | Primary |
Addresses
Primary practice location
3043 Sanitarium Rd
Ste. 1
Akron, OH 44312-4600
Mailing address
3515 Massillon Rd
Suite 300
Uniontown, OH 44685-6400
Phone (330) 899-9350
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000132163 | Other | OH | ANTHEM |
| 071 | Other | OH | SUMMA |
| 341458069B | Other | OH | AULTCARE |
| P00096158 | Other | OH | RAILROAD MEDICARE |
| 729762 | Other | OH | BUCKEYE COMM HEALTH PLAN |
| 04-03138 | Other | OH | UNITED HEALTHCARE |
| 0568407 | Medicaid | OH | |
| 0553284 | Other | OH | MEDICARE ID |
| 0553282 | Other | OH | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-049045-M | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1902885254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 MASSILLON RD",
"address_2": "SUITE 300",
"city": "UNIONTOWN",
"state": "OH",
"postal_code": "446856400",
"telephone_number": "330-899-9350",
"fax_number": "330-634-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3043 SANITARIUM RD",
"address_2": "STE. 1",
"city": "AKRON",
"state": "OH",
"postal_code": "443124600",
"telephone_number": "330-628-4044",
"fax_number": "330-628-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCROBERTS",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-049045-M",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000132163",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMA",
"identifier": "071",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AULTCARE",
"identifier": "341458069B",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00096158",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMM HEALTH PLAN",
"identifier": "729762",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "04-03138",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0568407",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0553284",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0553282",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.