DR. GEORGE WILLIAM ROBERTSON SR. (NPI# 1275591935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275591935 |
Entity Type | Individual |
Full Name | DR. GEORGE WILLIAM ROBERTSON SR. |
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 |
---|---|---|---|---|---|
Y | 208600000X | Surgery | 05949 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | CAQH | 10833233 | 01 |
TN | BCBS | 3132335 | 01 |
TN | 3155516 | 05 | |
TN | CIGNA | 4066832 | 01 |
TN | LICENSE | MD5949 | 01 |
TN | UHC | 244557 | 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 |
1144288747 | George William Robertson II | Internal Medicine | 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 | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720216898 | Kyle Ward | Surgery | 120 Hospital Dr Ste 200, Lebanon, MO 65536-9227 | 2009-06-29 |
1699943951 | Blue Ridge Medical Mangement Corporation | Surgery | 81 Carroll Street, Lebanon, VA 24266 | 2008-02-20 |
1386866853 | Raman Kumar | Surgery | 735 Norman Dr Ste 3, Lebanon, PA 17042-7559 | 2007-05-03 |
1194733832 | Lebanon Surgical Associates | Surgery | Carroll & Tate Sts., Suite 4, Lebanon, VA 24266 | 2006-08-04 |
1922028711 | Terry Wayne Shortridge | Surgery | 55 Twin Oaks, Suite C-1, Lebanon, OR 97355-2864 | 2006-07-21 |
1164451621 | Jimmy R Maneksha | Surgery | 125 Mascoma Street, Alice Peck Day Memorial Hospital, Lebanon, NH 03766 | 2006-06-30 |
1255383766 | Larimore C Warren | Surgery | 1405 W Baddour Pkwy, Suite 100, Lebanon, TN 37087-2567 | 2006-05-16 |
1174571863 | Barbara A. Klatchko, M.d., Ltd. | Surgery | 402 S 12th St, Lebanon, PA 17042-6617 | 2006-05-04 |
1215991443 | Kevin D Slentz | Surgery | 429 W Walnut St, Lebanon, KY 40033-1346 | 2006-04-14 |
1386612943 | Donald Duane Coker | Surgery | 229 South Fourth Street, Lebanon, PA 17042-1281 | 2006-03-09 |
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.