Individual provider · Type 1 NPI

Ty Martin Roseberry, PA

Physician Assistant · Indianapolis, IN

NPI number 1487604948 Active

Practice location

1801 N Senate Blvd, #200
Indianapolis, IN 46202-1228

Call (317) 802-2000 Map

Fax (317) 924-0115

Mailing address

14380 Main St, Suite 120, Pmb 160
Hesperia, CA 92345-4613

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10000768A (IN)
Physician Assistant Primary 363A00000X19182 (CA)

Physician Assistant: 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, orde…

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About NPI 1487604948

Ty Martin Roseberry, PA's National Provider Identifier is 1487604948, issued on May 12, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 29, 2021.