MR. JOHN RUSSELL ROBERTS PA-C
NPI 1568493757
Physician Assistant in Longview, TX

Active since July 05, 2006
409 N 6TH ST, LONGVIEW, TX 75601(903) 315-5520(903) 663-6371 Get Directions Write a Review

NPPES record last updated: November 19, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. John Russell Roberts Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JOHN RUSSELL ROBERTS PA-C (NPI 1568493757) is an individual physician assistant in Longview, Texas, licensed in Texas (PA03743) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1568493757
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JOHN RUSSELL ROBERTSCredential: PA-C
Location Address409 N 6TH STLongview, TX 75601-6536
Mailing AddressPo Box 4207Longview, TX 75606-4207 · (903) 315-5520
Fax(903) 663-6371
Sole ProprietorNo
Enumeration DateJuly 5, 2006
Last NPPES UpdateNovember 19, 2014
NPI 1568493757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA03743
Definition
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA03743 (TX)
409 N 6TH ST, Longview, TX 75601

Other Identifiers 3

Medicare UPINP95364TX
Other81742TX · Bc/bs
Other5536069TX · Aetna

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
409 N 6TH ST
LONGVIEW, TX 75601
Physical Therapist
409 N 6TH ST
LONGVIEW, TX 75601
Dietitian, Registered
409 N 6TH ST
LONGVIEW, TX 75601
Counselor (Professional)
409 N 6TH ST
LONGVIEW, TX 75601
Preventive Medicine (Occupational Medicine)
409 N 6TH ST
LONGVIEW, TX 75601
Durable Medical Equipment & Medical Supplies
409 N 6TH ST
LONGVIEW, TX 75601
Nurse Practitioner (Psychiatric/Mental Health)
409 N 6TH ST
LONGVIEW, TX 75601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Roberts's NPI number?

The NPI number for John Roberts is 1568493757. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is John Roberts located?

John Roberts practices at 409 N 6th St, Longview, TX 75601. The listed phone number is (903) 315-5520.

What is John Roberts's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for John Roberts was last updated on November 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.