MEDICARE: DR. MICHAEL SCOTT ROBERTS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD28173	ME
2	207X00000X	Orthopaedic Surgery Physician	1013363	MA
3	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	MD28173	ME

General Provider Information

NPI Number	:	1003310046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL SCOTT ROBERTS MD

Provider Business Mailing Address
First Line	:	5 BUCKNAM RD STE 1D
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-1208
Country	:	US
Telephone Number	:	207-781-1551
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 BUCKNAM RD STE 1D
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-1208
Country	:	US
Telephone Number	:	207-781-1551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2018
Last Update Date	:	03/03/2026

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