DR. LEE J ROBERTSON (NPI# 1184737439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184737439 |
| Entity Type | Individual |
| Full Name | DR. LEE J ROBERTSON |
| Credential | MD |
| Practice Address |
1405 Vegas Valley Dr Apt 208 Las Vegas NV 89169-2233 |
| Practice Telephone | 7026012517 |
| Mailing Telephone | 7026012517 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2016-12-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | TP703 | KY | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
5297 | MT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 0100640 | 05 | |
| MT | 01040000 | 05 | |
| MT | MEDICARE B | 000080415 | 01 |
| MT | BCBS OF MT | 000014611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215188255 | Lee William Robertson | Optometrist | 204 W Spotswood Trail, Elkton Eyecare, Elkton, VA 22827 | 2008-10-08 |
| 1023275625 | Lee Angus Robertson | Physical Medicine & Rehabilitation | 4300 Aurora Ave N, Suite 100, Seattle, WA 98103-7379 | 2008-05-21 |
| Street Address |
1405 VEGAS VALLEY DR APT 208 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326693623 | Lisa M Wolfley | Emergency Medicine | 8960 W Post Rd Unit 1007, Las Vegas, NV 89148-2452 | 2019-08-05 |
| 1275090722 | Tyler Davis | Emergency Medicine | 620 Shadow Ln, Las Vegas, NV 89106-4194 | 2019-02-20 |
| 1598134702 | Kerry Dean | Emergency Medicine | 624 S Tonopah Dr, Las Vegas, NV 89106-4029 | 2015-09-17 |
| 1104087287 | Patrick Henry Flores | Emergency Medicine | 3100 N Tenaya Way, Pob 1569, Las Vegas, NV 89128-0436 | 2008-06-20 |
| 1023051760 | Timothy Vanduzer | Emergency Medicine | 500 N Rainbow Blvd, Suite 203, Las Vegas, NV 89107-1082 | 2006-06-13 |
| 1063462364 | Aaron Vincent Lovinger | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-05-10 |
| 1932162583 | William Z Harrington | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2006-04-06 |
| 1972505675 | Clarence Michael Dunagan Iv | Emergency Medicine | 3100 N Tenaya Way, Las Vegas, NV 89128-0436 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651023 | Steven Matthew Savage | Emergency Medicine | 1250 American Pacific Dr Apt 1624, Henderson, NV 89074-7859 | 2019-10-22 |
| 1376198028 | Henderson Hospital | Emergency Medicine | 2581 Saint Rose Pkwy, Henderson, NV 89074-7777 | 2019-08-08 |
| 1861842064 | Daniel Honneyman | Emergency Medicine | Northeastern Regional Hospital, 2001 Errecart Blvd, Elko, NV 89801 | 2016-06-17 |
| 1124147327 | Joseph Mario Romano | Emergency Medicine | 561 Keystone Ave # 492, Reno, NV 89503-4304 | 2007-03-28 |
| 1427027077 | Michael B Macquarrie Md Inc | Emergency Medicine | 880 Alder Ave, Incline Village, NV 89451-8335 | 2006-03-16 |
| 1801446760 | Gregory K Burnett | Emergency Medicine | 975 Ryland St Ste 100, Reno, NV 89502-1669 | 2019-09-12 |
| 1598089112 | Joshua Ef Pascoe | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2010-03-25 |
| 1295902559 | Thomas Emery Brodie | Emergency Medicine | 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | 2008-05-14 |
| 1720281009 | Marianna Catarina Coggins | Emergency Medicine | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2007-06-06 |
| 1396822821 | Carson Tahoe Emergency Physicians | Emergency Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2006-11-01 |
| Find all providers with the same taxonomy | ||||
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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.