DR. PATRICK AARON ROBERTSON (NPI# 1194715037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194715037 |
| Entity Type | Individual |
| Full Name | DR. PATRICK AARON ROBERTSON |
| Credential | M.D. |
| Practice Address |
111 S 5th St Douglas WY 82633-2434 |
| Mailing Address |
Po Box 1450 Douglas WY 82633-1450 |
| Practice Telephone | 3073582122 |
| Practice Fax Number | 3073589216 |
| Mailing Telephone | 3073581403 |
| Mailing Fax Number | 3073583432 |
| Enumeration Date | 2005-10-23 |
| Last Update Date | 2013-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | MD14964 | ME | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 95-00203 | NC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 10168 | NH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 153414 | MA | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 6940A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1194715037 | 05 | |
| WY | MEDICAL LICENSE | 6940A | 01 |
| WY | 119905600 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093056749 | Patrick Banner Robertson | Anesthesiology | 5115 Bernard Dr Ste 201, Roanoke, VA 24018-4367 | 2013-03-05 |
| Street Address |
111 S 5TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670267 | Phillip O Tigert | Physician Assistant | 111 S 5th St, Douglas, WY 82633-2434 | 2005-06-28 |
| 1972110138 | Melanie Hummert | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-09-30 |
| 1467070730 | Jordon Jacklin | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-07-13 |
| 1225662216 | Sara Marie Thronburg | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2020-02-27 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1043867872 | Aaron Bernal | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-26 |
| 1033765821 | Hannah Williams | Occupational Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-16 |
| 1710457601 | Michael Jeremey Littleton | Emergency Medical Technician, Paramedic | 111 S 5th St, Douglas, WY 82633-2434 | 2018-12-04 |
| 1275054751 | Shelby Hoskinson | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2017-07-05 |
| 1811447956 | Melissa Renee Bulkley | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770708372 | A. Joseph Hoski | Orthopaedic Surgery | 177 St. Peter's Drive, Douglas, MI 49406-1027 | 2007-04-17 |
| 1104883461 | Thunder Basin Orthopaedics and Sports Medicine PC | Orthopaedic Surgery | 808 Riverbend Dr, Douglas, WY 82633-2054 | 2006-04-28 |
| 1538120639 | Stephen John Augustine | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2006-03-29 |
| 1437125812 | Kenneth P Depersio | Orthopaedic Surgery | 100 Doctors Dr Ste F, Douglas, GA 31533-2211 | 2006-02-27 |
| 1932198686 | James William Barber | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2005-10-17 |
| 1184053043 | Southeastern Orthopedics | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2013-11-01 |
| 1871852426 | Joshua Landon Vickers | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2012-05-16 |
| 1427337294 | Orthopedic Surgeons of Georgia LLC | Orthopaedic Surgery | 100 Doctors Dr Ste I, Douglas, GA 31533-2211 | 2011-08-11 |
| 1437356813 | Laura L Tharp | Orthopaedic Surgery | 100 Doctors Dr, Suite 204, Douglas, GA 31533-2210 | 2007-06-29 |
| 1265536437 | Southeastern Orthopedics | Orthopaedic Surgery | 110 Shirley Avenue, Douglas, GA 31533 | 2006-09-11 |
| Find all providers in DOUGLAS | ||||
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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.