Wanda Roberton, MD
General Practice in Federal Way, WA. Individual provider (NPI-1).
NPI number1730272147
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1730272147
- Entity type
- Individual (NPI-1)
- Name
- Wanda Roberton
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2006
- Last updated
- Jul 9, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | MD00018181 | WA | Yes |
Practice location
32020 1st Ave SSuite 115
Federal Way, WA 98003-5717
Phone 253-838-6556 · Fax 253-661-4523
Mailing address
32020 1st Ave SSuite 115
Federal Way, WA 98003-5717
Phone 253-838-6556 · Fax 253-661-4523
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 5 General Practice Physician providers in Federal Way · All 3,475 providers in Federal Way
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