Dr. Jonathan Charles Roberts
M.D. | Pediatrics | Male
Dr. Jonathan Charles Roberts, M.D. is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jonathan Charles Roberts is
427 W Northmoor Rd, Peoria, Illinois - 61614-3542. He can be contacted on phone at
309-692-5337 and fax number 309-693-3913.
Dr. Jonathan Charles Roberts is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jonathan Charles Roberts is
1871757070 which was assigned by NPPES on 16 Jul, 2008 and it was last updated on 30 Jul, 2021.
Dr. Jonathan Charles Roberts license number is
125.054688 for Pediatrics (208000000X) in Illinois.
Dr. Jonathan Charles Roberts is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jonathan Charles Roberts basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jonathan Charles Roberts |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jonathan Charles Roberts address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 427 W Northmoor Rd
Peoria, IL, 61614-3542
United States |
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| Phone Number : | 309-692-5337 |
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| Fax Number : | 309-693-3913 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1871757070 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Jul, 2008 |
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| Last Updated On : | 30 Jul, 2021 |
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Medicare Participation:
Dr. Jonathan Charles Roberts participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5193994424 |
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| Medicare Enrollment ID : | I20140730000552 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Southern Illinois University School Of Medicine |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Dr. Jonathan Charles Roberts accepts medicare insurance. |
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Group Practice Association:
Dr. Jonathan Charles Roberts is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jonathan Charles Roberts is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Michael D. Tarantino, M.d. S.c. | 6800950833 | 3 | 427 W Northmoor Rd
Peoria, IL - 616143542
Ph: 3096925337 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jonathan Charles Roberts are as mentioned. Primary taxonomy code for Dr. Jonathan Charles Roberts, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | Yes | 125.054688 | IL |
| 208000000X | Pediatrics | No | 55876 | WI |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 55876 | WI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jonathan Charles Roberts such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 1871757070 | MEDICAID | WI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 427 W Northmoor Rd
Peoria, IL, 61614-3542
United States |
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| Phone Number : | 309-692-5337 |
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| Fax Number : | 309-693-3913 |
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Business Location:
Patients can refer following map for directions to
Dr. Jonathan Charles Roberts practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.