MR. MICHAEL ALEXANDER ROBERTSON SR. (NPI# 1053392126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053392126 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ALEXANDER ROBERTSON SR. |
| Credential | PA-C |
| Practice Address |
Delorenzo Health Clinic Pentagon Arlington VA 22202 |
| Mailing Address |
8263 Glade Bank Dr Manassas VA 20111-5229 |
| Practice Telephone | 7036071599 |
| Mailing Telephone | 7035307937 |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952672610 | Michael Austin Robertson | Dentist | 2730 Country Club Rd Ste A, Lucas, TX 75002-8781 | 2012-01-25 |
| 1154528701 | Michael R Robertson | Pharmacist | 7467 Saint Andrews Rd Ste 6, Irmo, SC 29063-2876 | 2007-06-28 |
| 1689878290 | Michael Robertson | Psychologist | 604 1st St Ste 100, Princeton, MN 55371-1606 | 2007-06-14 |
| 1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
| 1467545939 | Michael Stephen Robertson | Pharmacist | 6109 Fort Ave, Lynchburg, VA 24502-1933 | 2006-10-02 |
| 1255311791 | Michael Robertson | Nurse Anesthetist, Certified Registered | 8801 S 101 E Ave, Tulsa, OK 74133 | 2006-01-19 |
| 1306840798 | Michael Anthony Robertson | Chiropractor | 118 E John Carpenter Fwy, Suite 150, Irving, TX 75062-3569 | 2005-06-13 |
| 1417301664 | Michael J Robertson | Family Medicine | 5275 State Route 122 Ste 100, Franklin, OH 45005-9617 | 2016-04-14 |
| 1184086290 | Michael Joseph Robertson | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2016-03-28 |
| 1861890345 | Michael Robertson Jr. | Nurse Practitioner | 3900 N Buffalo St, Orchard Park, NY 14127-1842 | 2014-12-15 |
| Street Address |
DELORENZO HEALTH CLINIC PENTAGON |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291474 | Gail Devonna Johnson | Home Health Aide | 2611 S Clark St Suite 700, Arlington, VA 22202 | 2020-10-06 |
| 1194331835 | Keylah Cherri Adams | Home Health Aide | 2611 South Clark Street Suite 700, Arlington, VA 22202 | 2020-09-18 |
| 1902412927 | Briggitte Marie Bradley | Home Health Aide | 2611 S Clark St. Suite 700, Arlington, VA 22202 | 2020-09-16 |
| 1730793027 | Regina Ray | Home Health Aide | 2611 South Clark Street, St.700, Arlington, VA 22202 | 2020-09-03 |
| 1255944328 | Elizabeth Ann Mayes Gross | Home Health Aide | 2611 S. Clark Street, 700, Arlington, VA 22202 | 2020-08-28 |
| 1942826425 | Maria Eugenia Flores | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-22 |
| 1013531250 | Alistair Taylor | Student in an Organized Health Care Education/Training Program | Potomac Behavioral Solutions, 2001 Richmond Highway, Suite 800, Arlington, VA 22202 | 2020-06-03 |
| 1194349399 | Solange Abel Anagho | Home Health Aide | 2611 South Clark Street, Suite 700, Arlington, VA 22202 | 2020-06-03 |
| 1083256028 | Home Is Love Home Healthcare, LLC | Home Health | 575 12th Road S, Apt 231, Arlington, VA 22202 | 2019-10-10 |
| 1619521150 | Sarah Elizabeth Young | Physician Assistant | 1601 23rd St S, Arlington, VA 22202 | 2019-08-01 |
| Find all providers in zip 22202 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053957910 | Rossalya Aracely Granda Gutierrez | Physician Assistant | 4150 N Collins St, Arlington, TX 76005-4547 | 2019-11-25 |
| 1699130310 | Nilima Patel | Physician Assistant | 1635 N George Mason Dr Ste 180, Arlington, VA 22205-3633 | 2015-12-22 |
| 1821399577 | Nicole Sibley | Physician Assistant | 200 North Glebe Road, Suite 300, Arlington, VA 22203 | 2010-11-11 |
| 1457582637 | Raphem Health Services Pllc | Physician Assistant | 614 Matlock Centre Circle, Arlington, TX 76015-2536 | 2009-08-05 |
| 1568691764 | W. Noubani, Pa Medical Pllc | Physician Assistant | 6407 S Cooper St, 117, Arlington, TX 76001-6795 | 2009-07-08 |
| 1215126297 | Debbie Slay | Physician Assistant | 711 East Lamar Blvd., Suite #200, Arlington, TX 76011-3888 | 2007-10-16 |
| 1548355167 | Emily Jace Scherer | Physician Assistant | 1600 N Oak St, Suite 509, Arlington, VA 22209-2751 | 2006-10-03 |
| 1992753248 | Heidi Mcmillan Horton | Physician Assistant | 1132 S Bowen Rd, Arlington, TX 76013-2204 | 2006-05-05 |
| 1902872039 | Us Army Medcom | Physician Assistant | 900 Army Navy Dr, Suite 1533, Arlington, VA 22202-4927 | 2006-02-28 |
| 1518500453 | Grace S Cartwright | Physician Assistant | 711 E Lamar Blvd Ste 200, Arlington, TX 76011-3800 | 2019-10-23 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.