Individual provider Active NPI

Arlene Grace Roble, MD

  • Pediatrics Physician
  • Amherst, OH
National Provider Identifier
1942296090
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-084456 Issued in OH
Practice address
590 N Leavitt Rd
Amherst, OH 44001-1131
Phone
(440) 282-7408
Fax
(440) 960-2214
NPI assigned
Sep 23, 2005
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35-084456 OH Primary

Addresses

Primary practice location

590 N Leavitt Rd
Amherst, OH 44001-1131

Mailing address

24701 Euclid Ave
Euclid, OH 44117-1714
Phone (440) 282-7408

Other practice location 1

319 W Lorain St
Oberlin, OH 44074-1027
Phone (440) 282-7408

Other practice location 2

3600 Kolbe Rd
Suite 120
Lorain, OH 44053-1654
Phone (440) 282-7408

Other identifiers 1

IdentifierTypeStateIssuer
2524021MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address arleneroble@uhps.allscriptsdirect.net
Direct Messaging Address arleneroble@uhps.allscriptsdirect.net
Direct Messaging Address arleneroble@uhps.allscriptsdirect.net

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

LicenseStateTypeSpecialty
35-084456OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aroble37130@ehrdirect.uhhospitals.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1942296090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24701 EUCLID AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441171714",
            "telephone_number": "440-282-7408",
            "fax_number": "440-960-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131",
            "telephone_number": "440-282-7408",
            "fax_number": "440-960-2214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 W Lorain St",
            "address_purpose": "LOCATION",
            "city": "Oberlin",
            "state": "OH",
            "postal_code": "440741027",
            "country_code": "US",
            "telephone_number": "440-282-7408",
            "fax_number": "440-960-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Kolbe Rd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440531654",
            "country_code": "US",
            "telephone_number": "440-282-7408",
            "fax_number": "440-960-2214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLE",
        "first_name": "ARLENE",
        "middle_name": "GRACE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-084456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2524021",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arleneroble@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3600 Kolbe Rd",
            "address_2": "Suite 120",
            "city": "Lorain",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440531654",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arleneroble@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "319 W Lorain St",
            "city": "Oberlin",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440741027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arleneroble@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "590 N Leavitt Rd",
            "city": "Amherst",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440011131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

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