DR. GEORGE WILLIAM ROBERTSON II (NPI# 1144288747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144288747 |
| Entity Type | Individual |
| Full Name | DR. GEORGE WILLIAM ROBERTSON II |
| Credential | M.D. |
| Practice Address |
1407 W Baddour Pkwy Lebanon TN 37087-2513 |
| Practice Telephone | 6154446203 |
| Practice Fax Number | 6154446252 |
| Mailing Telephone | 6154446203 |
| Mailing Fax Number | 6154446252 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2011-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31453 | TN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 31453 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | CIGNA | 7241259 | 01 |
| TN | MEDIARE RR | 020046097 | 01 |
| TN | CAQH | 10810638 | 01 |
| TN | UHC | 2118384 | 01 |
| TN | 3844934 | 05 | |
| TN | BCBS | 4020554 | 01 |
| TN | LICENSE | MD31453 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972832137 | George Okey Robertson | Dentist | 1012 W Columbia St, Farmington, MO 63640-2902 | 2009-12-17 |
| 1477617744 | George Robertson | Optometrist | 1180 Brookdale Mall, Sp. #30, Brooklyn Center, MN 55430 | 2006-12-21 |
| 1194720342 | George W Robertson | Obstetrics & Gynecology | 4130 Dutchmans Ln, Ste 400, Louisville, KY 40207-4711 | 2005-06-15 |
| 1093233033 | George Robertson | Specialist | 1500 N Mississippi St, Little Rock, AR 72207-5851 | 2017-08-30 |
| 1801026141 | George H. Robertson IIi | Orthopaedic Surgery | 3688 Veterans Memorial Dr., Suite 200, Hattiesburg, MS 39401 | 2009-07-21 |
| 1902900046 | George T Robertson | Pediatrics | 1430 E Main St, #201, Santa Maria, CA 93454 | 2006-09-11 |
| 1275591935 | George William Robertson Sr. | Surgery | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-05-03 |
| Street Address |
1407 W BADDOUR PKWY |
| City | LEBANON |
| State | TN |
| Zip Code | 37087-2513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487610069 | Erin Mcculloch Crisp | Physician Assistant | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2006-04-24 |
| 1518360874 | Lindsey Nicole Lattimore | Emergency Medical Technician, Intermediate | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2014-10-01 |
| 1417296807 | Christine Corpuz Kowal | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2013-02-05 |
| 1922359025 | John William Deason IIi | Pharmacist | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2012-09-28 |
| 1073742250 | Richard A. Kincaid | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2009-07-08 |
| 1629221692 | Tracy L Moss | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-11-03 |
| 1629245634 | Benita K Qualls | Physician Assistant | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1306013305 | Jason L Black | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1083881064 | Jaime Christen Blaylock | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2008-05-09 |
| 1255526380 | Keith T Winfree | Nurse Practitioner | 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2007-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051698 | Results-ast Jv, LLC | Physical Therapist | 1420 West Baddour Parkway, Suite 102, Lebanon, TN 37087 | 2020-10-19 |
| 1306405725 | Angela Kurtz | Hearing Instrument Specialist | 1430 West Baddour Parkwayste D, Lebanon, TN 37087 | 2019-06-10 |
| 1164926937 | Andrea Christine Morrisett | Physical Therapist | 404 N Castle Heights Ave Ste G, Lebanon, TN 37087 | 2018-03-19 |
| 1942731492 | Rocky Mountain Holdings, LLC | Ambulance | 760d Franklin Rd, Lebanon, TN 37087 | 2017-03-27 |
| 1326409285 | Karina Lawrence | Speech-Language Pathologist | 1006 Keaton Street, Lebanon, TN 37087 | 2016-03-18 |
| 1174910491 | Yehualashet Bekele Hailemariam | Internal Medicine | 1411 W Baddour Pkwy,lebanon Tn 37087, Lebanon, TN 37087 | 2015-04-24 |
| 1043614829 | Jean Thompson | Behavioral Analyst | 1004 Hickory Hill Lane, Suite 2, Hermitage, TN 37087 | 2014-10-22 |
| 1588072771 | La Keisha Fair | Community Health Worker | 1 Cumberland Square, Lebanon, TN 37087 | 2014-07-31 |
| 1023440609 | James Martin Meadows | Specialist/Technologist | One Cumberland Square, Lebanon, TN 37087 | 2013-08-06 |
| 1336571231 | Lori Ann De Leo | Social Worker | 109 Autumn Creek, Lebanon, TN 37087 | 2013-08-01 |
| Find all providers in zip 37087 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336671064 | Mahoussi Nicole Aholoukpe | Pediatrics | 618 Cornwall Rd Ste 2, Lebanon, PA 17042-7089 | 2017-03-31 |
| 1124318563 | Vernon David Savell Jr. | Pediatrics | 832 Pebble Cove Rd, Lebanon, TN 37087-1004 | 2011-04-19 |
| 1952504250 | Otto Pediatrics | Pediatrics | 1570 Cornwall Road, Lebanon, PA 17042 | 2007-06-06 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1972687309 | Deborah Wen-yee Mark | Pediatrics | 115 Winwood Drive, Centennial Pediatrics Ste 105, Lebanon, TN 37087 | 2006-10-24 |
| 1578586939 | Gene P Otto IIi | Pediatrics | 1570 Cornwall Rd, Lebanon, PA 17042-7403 | 2006-07-26 |
| 1003834441 | Russell County Clinic Corp | Pediatrics | 640 Overlook Drive, Lebanon, VA 24266 | 2006-07-17 |
| 1245276310 | John Fischer | Pediatrics | 1390 Route 22 W, Lebanon, NJ 08833 | 2006-06-20 |
| 1841234168 | Harinder Singh Grewal | Pediatrics | 330 Loretto Rd, Ste 700, Lebanon, KY 40033-1308 | 2006-06-16 |
| 1437105079 | Eric Yorke | Pediatrics | 1390 Us Highway 22, Lebanon, NJ 08833-2217 | 2006-05-25 |
| Find all providers in LEBANON | ||||
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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.