TIMOTHY BOYD ROBERSON (NPI# 1194059071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194059071 |
| Entity Type | Individual |
| Full Name | TIMOTHY BOYD ROBERSON |
| Credential | PA-C |
| Practice Address |
105 Zeid Blvd Henderson TX 75652-6070 |
| Mailing Address |
Po Box 2701 Longview TX 75606-2701 |
| Practice Telephone | 9036577581 |
| Practice Fax Number | 9036571187 |
| Mailing Telephone | 9036577581 |
| Mailing Fax Number | 9036571187 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE PTAN | 8L20142 | 01 |
| Street Address |
105 ZEID BLVD |
| City | HENDERSON |
| State | TX |
| Zip Code | 75652-6070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750386413 | William Roberson | Family Medicine | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2005-06-17 |
| 1043570302 | Lori C Wyatt | Family Medicine | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2012-05-21 |
| 1811281504 | Chelsi M Jackson | Family Medicine | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2011-05-31 |
| 1861563777 | Ob Gyn Associates of Henderson LLP | Obstetrics & Gynecology | 105 Zeid Blvd, Henderson, TX 75652 | 2006-11-13 |
| 1831154897 | Yogesh Govindaraya Pai | Pediatrics | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2006-04-20 |
| 1316912470 | Kenneth W Stegall | Physician Assistant | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2006-02-22 |
| 1659345353 | Charles M Perricone | Family Medicine | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2006-02-17 |
| 1558335828 | Meredith D Arnall | Family Medicine | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2006-02-14 |
| 1679578405 | Deborah Franks | Nurse Practitioner | 105 Zeid Blvd, Henderson, TX 75652-6070 | 2005-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264384 | John Etakibuebu | Pharmacist | 2415 Hwy 79 S, Henderson, TX 75652 | 2020-01-15 |
| 1841758596 | Janet Juanita Ray | Registered Nurse | 1987 Fm 2276 N, Henderson, TX 75652 | 2019-03-12 |
| 1912490483 | Matthew Davis Acres | Dentist | 1910 Tx-43, Henderson, TX 75652 | 2018-06-11 |
| 1467863407 | Counseling Services | Counselor | 1103 Wilson Street, Henderson, TX 75652 | 2014-05-13 |
| 1285900852 | Linda June Pool | Music Therapist | 6861 Fm 1251 E., Henderson, TX 75652 | 2012-03-28 |
| 1780992586 | Furqueron & Jackson Dentistry Partnership | Dentist | 1910 State Hwy 43 East, Henderson, TX 75652 | 2010-09-15 |
| 1235396359 | Crystal Touchstone | Physical Therapy Assistant | 1010 W Main, Henderson, TX 75652 | 2008-05-16 |
| 1609082379 | D&s Residential Services | Intermediate Care Facility, Mentally Retarded | 103 Truman, Henderson, TX 75652 | 2007-05-16 |
| 1790997302 | Billy George Brown | Dentist | 300-b North High Street, Henderson, TX 75652 | 2007-05-04 |
| 1043379761 | Donna G Mason-mcfalll | Counselor | 1103 Wilson St, Henderson, TX 75652 | 2006-12-08 |
| Find all providers in zip 75652 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013537794 | Julia Alexa Ondarza | Physician Assistant | 10120 S Eastern Ave Ste 120, Henderson, NV 89052-3952 | 2020-04-22 |
| 1164060216 | Hugh Andrew David Cooper Rosett | Physician Assistant | 2114 Rhonda Ter, Henderson, NV 89074-0653 | 2019-12-18 |
| 1982241261 | Anna Liang | Physician Assistant | 2839 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4849 | 2019-12-05 |
| 1194369710 | Brooke Lauren Cossaboom | Physician Assistant | 2185 Rio Rancho Pointe Pl, Henderson, NV 89002-8606 | 2019-11-06 |
| 1316407810 | Joseph William Rozmus IIi | Physician Assistant | 451 Ruin Creek Rd Ste 103, Henderson, NC 27536-5920 | 2019-03-21 |
| 1164996419 | Emily Taylor Relles | Physician Assistant | 71 Falcon Feather Way, Henderson, NV 89012-5835 | 2019-01-18 |
| 1528511516 | Clinton Matthew Emmons | Physician Assistant | 1095 Sheer Paradise Ln Unit 3, Henderson, NV 89002-1058 | 2016-07-26 |
| 1447616404 | Marcos Gomez | Physician Assistant | 121 Pettswood Dr, Henderson, NV 89002-3390 | 2016-01-06 |
| 1407244593 | Laura Schmitt | Physician Assistant | 2380 West Horizon Ridge Parkway, Suite 110, Henderson, NV 89052 | 2014-12-26 |
| 1740602275 | Tanner J Smith | Physician Assistant | 830 Carnegie St Apt 623, Henderson, NV 89052-5734 | 2014-01-17 |
| Find all providers in HENDERSON | ||||
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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.