Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821426362 Individual Practitioner Male Practitioner

Derek Ryan Roberts , PA-C

Physician Assistant • Maxwell Afb, AL

Professional Overview & Biography Verified Profile Summary

Derek Roberts, PA-C is a registered healthcare professional specializing in Physician Assistant in Maxwell Afb, AL. Practice services are available at 300 TWINING ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Twining St

Maxwell Afb, AL 361126027

Telephone 3349533368
Associated Practice Facility / Clinic
🏢 42d Medgrp-Maxwell Facility NPI 1487053435

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maxwell Afb, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.6 Yrs
Regional Practice Density
8 Specialists

Practicing in Maxwell Afb, AL (1153 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-07-15
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9111316

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WV 617

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 50.003912

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Hawaii Physician Assistant License
AMD-666 (HI)
Commercial Insurance / Payer ID Wv Physician Assistant License
1772 (WV)
Commercial Insurance / Payer ID Ohio License
50.003912 (OH)
Commercial Insurance / Payer ID Physician Assistant
PA9111316 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
NPI 1003191875

Doctor of Optometry

Lori Carver , ARNP

Nurse Practitioner - Family

NPI 1114309143

Advanced Registered Nurse Practitioner

NPI 1164482956

Doctor of Optometry

Teri Uhler , LCSW

Social Worker - Clinical

NPI 1174669089

Licensed Clinical Social Worker

Eric Korzen , PA-C

Physician Assistant

NPI 1275777948

Physician Assistant (Certified)

Dr. Kristin Tubre , PsyD

Psychologist - Clinical

NPI 1275788754

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 15, 2024

Registered at 300 TWINING ST, MAXWELL AFB, AL 361126027 (Tel: 3349533368)

📍
Updated Business Mailing Address July 15, 2024

Registered at 300 TWINING ST, MAXWELL AFB, AL 361126027

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2024

Physician Assistant (License #PA9111316 in FL)

NPI Profile Active February 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 10, 2017

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

📍
Updated Business Mailing Address February 10, 2017

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838600)

👤
Provider Name / Credentials Updated February 10, 2017

Recorded as DEREK ROBERTS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2017

Physician Assistant (License #617 in WV)

NPI Profile Active October 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2013

Registered at 2828 1ST AVE, SUITE 400, HUNTINGTON, WV 257021236 (Tel: 3045256905)

📍
Updated Business Mailing Address October 18, 2013

Registered at 2828 1ST AVE, SUITE 400, HUNTINGTON, WV 257021236 (Tel: 3045256905)

👤
Provider Name / Credentials Updated October 18, 2013

Recorded as DEREK ROBERTS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2013

Physician Assistant (License #50.003912 in OH)

🟢
Initial NPI Registration & Enumeration October 18, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821426362
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 18, 2013
Last Update: July 15, 2024
Sole Proprietor: No

Mailing Address

300 Twining St

Maxwell Afb, AL 361126027

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.