Mr. Ty Martin Roseberry, PA
Mr. Ty Martin Roseberry, PA is a Physician Assistant in Indianapolis, Indiana. Qualified in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Indiana.
- Years since qualifying
- 23
- Licensed in
- CA, IN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
1801 N Senate Blvd #200Indianapolis, IN 46202-1228
Phone: (317) 802-2000
Fax: (317) 924-0115
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 19182 (CA) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 10000768A (IN) |
Record details
| NPI number | 1487604948 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | May 12, 2006 |
| Last updated in NPPES | November 29, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2003 (23 years in practice) |
| Group practice | Southern California Permanente Medical Group — 11242 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Colleagues at Southern California Permanente Medical Group
- Dr. Arshad Ahad, MD Hematology & Oncology Physician · Torrance, CA
- Ibijoke Alade, MD Internal Medicine Physician · Pompton Plains, NJ
- Todd Armbruster, DO Family Medicine Physician · Mission Viejo, CA
- Dr. Mark Ryan Carter, MD Anatomic Pathology & Clinical Pathology Physician · Chico, CA
- MS. Kim T Davis, CNM Midwife · Los Angeles, CA
- Dr. Lorence M Eshoe, MD Family Medicine Physician · Pasadena, CA
- Sarah Evelyn Franklin, NP Gerontology Nurse Practitioner · Baldwin Park, CA
- Bella B. Galdo, MD Family Medicine Physician · Reno, NV
- Kimberly A. Giffard, MD Surgery Physician · Sun City Center, FL
- Han Ly, MD Anesthesiology Physician · Sacramento, CA
- Ramona S Snipes, MD Emergency Medicine Physician · Virginia Beach, VA
- Dr. The-Huy M. Tran, MD Internal Medicine Physician · Redlands, CA
Other providers in Indianapolis
-
Anne Sophie Roche, PA-S
1500 N Ritter Ave, Indianapolis, IN 46219-3027 · (317) 355-1411
-
Haleigh T Rodgers, PA-C
1800 N Capitol Ave E-140, Indianapolis, IN 46202-1218 · (317) 962-8776
-
Todd M Rohr, PA
8333 Naab Rd Ste 400, Indianapolis, IN 46260-1992 · (317) 338-6666
-
Sara Rooney, PA-C
8433 Harcourt Rd Ste 100, Indianapolis, IN 46260-2193 · (317) 583-7600
-
Mr. Ryan Matthew Rosebrough, MPAS, PA-C
2203 Allison Ave, Indianapolis, IN 46224-5024 · (317) 292-2153
-
Lillie Nicole Ross, PA-C
705 Riley Hospital Dr, Indianapolis, IN 46202-5109 · (317) 944-8906
-
Mr. Jason David Roth, PA
8450 NW Blvd, Indianapolis, IN 46278-1381 · (317) 802-2000
-
Mr. Nathan Michael Rothchild, PA
1050 Wishard Blvd, Indianapolis, IN 46202-2872 · (317) 278-3208