Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD432832 | PA |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD432832 | PA |
NPI | 1316125982 |
---|---|
Provider Name | Carlos A Roberts |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2008 |
Last Update Date | 21/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102113614 | (05) | PA |
118474 | GEISINGER HEALTH PLAN (01) | PA |
1572030 | GATEWAY-WMG (01) | PA |
20076136 | AMERIHEALTH MERCY-WMG (01) | PA |
20086880 | AMERIHEALTH MERCY YHOBT (01) | PA |
2027807 | HIGHMARK BLUE SHIELD (01) | PA |
212425 | JOHNS HOPKINS (01) | PA |
30146680 | AMERIHEALTH CARITAS PENNSYLVANIA - WMG (01) | PA |
50077473 | CAPITAL BLUE CROSS-WMG (01) | PA |
50083660 | CAPITAL BLUE CROSS YHOBT (01) | PA |
929853 | CAREFIRST MD BCBS (01) | MD |
9939181 | AETNA (01) | PA |