MICHAEL JOSEPH ROBERTSON


Address: 2500 N State St, Jackson, MS 39216-4500
Phone: 6019846525

MICHAEL JOSEPH ROBERTSON (NPI# 1184086290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184086290
Entity Type Individual
Full Name MICHAEL JOSEPH ROBERTSON
Credential M.D.
Practice Address 2500 N State St
Jackson
MS 39216-4500
Practice Telephone 6019846525
Practice Fax Number 6019845151
Mailing Telephone 6019846525
Mailing Fax Number 6019845151
Enumeration Date 2016-03-28
Last Update Date 2016-03-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers MICHAEL ROBERTSON

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
1053392126 Michael Alexander Robertson Sr. Physician Assistant Delorenzo Health Clinic, Pentagon, Arlington, VA 22202 2005-11-07
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
1861890345 Michael Robertson Jr. Nurse Practitioner 3900 N Buffalo St, Orchard Park, NY 14127-1842 2014-12-15

Office Location

Street Address 2500 N STATE ST
City JACKSON
State MS
Zip Code 39216-4500

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556231 University Ophthalmology Associates Ophthalmology 2500 N State St, Ste B329, Jackson, MS 39216-4500 2005-05-24
1396346607 Ashleigh Renfroe Hannah Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-11-03
1770182438 Tara P. Carter Nurse Practitioner 2500 N State St, Jackson, MS 39216-4500 2020-10-22
1679189849 Raegan Wilson Registered Nurse 2500 N State St, Jackson, MS 39216-4500 2020-09-22
1851905095 Violet Maloba Awori Student in an Organized Health Care Education/Training Program 2500 N State St, Jackson, MS 39216-4500 2020-09-04
1295348639 Kassidy Voinche Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-25
1215549423 Brittney Leeann Williams Pharmacist 2500 N State St, Jackson, MS 39216-4500 2020-08-19
1912519364 Rashmi Verma Internal Medicine 2500 N State St, Jackson, MS 39216-4500 2020-08-18
1982215414 Anita Dhanrajani Pediatrics 2500 N State St, Jackson, MS 39216-4500 2020-08-10
1528676954 Nicholas Mcafee Psychologist 2500 N State St, Jackson, MS 39216-4500 2020-07-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861011553 Ashley Melancon Prewitt Registered Nurse St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 2020-04-13
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
1275183550 Amanda Lynn Morellato Dentist Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 2019-09-18
1396305553 Abhishek Chhabra Student in an Organized Health Care Education/Training Program Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 2019-06-19
1427615996 Hometown Diagnostics Clinical Medical Laboratory Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 2019-05-21
1346807773 Shukundala C Smith Behavior Technician New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 2019-05-21
1063901098 G Eli Howell Md Pllc Plastic Surgery 971 Lakeland Dr Ste 225, Jackson, MS 39216 2018-05-04
1588168132 Caleb Zumbro Student in an Organized Health Care Education/Training Program Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 2018-03-20
1639677230 Walgreen Co Pharmacy 971 Lakeland Dr Ste 101, Jackson, MS 39216 2018-01-29
Find all providers in zip 39216

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447851407 Rebecca Lynn Collimore Student in an Organized Health Care Education/Training Program 5 Twin Oaks Ct, Jackson, NJ 08527-5359 2020-11-05
1578176053 Breanna Christina Wade Student in an Organized Health Care Education/Training Program 1647 Robinson St Apt B, Jackson, MS 39209-6424 2020-08-25
1730798240 Taylor Michael Smith Student in an Organized Health Care Education/Training Program 21 Windfield Cv, Jackson, TN 38305-9778 2020-07-30
1639797442 Walk By Faith Not By Sight Homecare Student in an Organized Health Care Education/Training Program 2310 Us-80 West, Suite F 1154, Jackson, MS 39204 2020-07-08
1922620855 Madison K Heine Student in an Organized Health Care Education/Training Program Univ. of Mississippi Medical Center, School of Dentistry, Jackson, MS 39216-3921 2020-05-14
1083236210 Juvell Nicole Burris Student in an Organized Health Care Education/Training Program 802 Lakeland Dr Apt 104, Jackson, MS 39216-4613 2020-05-11
1316569742 Monieca Michelle Mcnair Student in an Organized Health Care Education/Training Program 635 Nakoma Dr, Jackson, MS 39206-3335 2020-05-07
1760011480 Kandice Bailey Student in an Organized Health Care Education/Training Program 915 Bellevue Pl, Jackson, MS 39202-2702 2020-04-04
1194353391 Brianna Arrington Student in an Organized Health Care Education/Training Program Med/ Peds, 2500 N. State St., Jackson, MS 39216 2020-04-01
1720616485 Roshina Khalid Khan Student in an Organized Health Care Education/Training Program Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 2020-03-30
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39216

Improve Information

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Dataset Information

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.

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