KEVIN M. ROBERTSON (NPI# 1447313747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447313747 |
| Entity Type | Individual |
| Full Name | KEVIN M. ROBERTSON |
| Credential | M.D. |
| Practice Address |
3205 Glacier Ridge Rd Middleton WI 53562-1765 |
| Practice Telephone | 6088333274 |
| Practice Fax Number | 6088338007 |
| Mailing Telephone | 6088333274 |
| Mailing Fax Number | 6088338007 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 37842-020 | WI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326266636 | Kevin Robertson | Marriage & Family Therapist | 2621 W Canyon Ave, Suite 417, San Diego, CA 92123-4732 | 2007-04-23 |
| 1508421629 | Kevin Josue Robertson | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, St. Louis, MO 63117 | 2019-05-03 |
| 1467951954 | Kevin Austin Robertson | Dietitian, Registered | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2018-02-09 |
| 1871023713 | Kevin Robertson | Internal Medicine | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2017-06-13 |
| 1336521947 | Kevin Robertson | Counselor | 318 N Main St, Maryville, MO 64468-1644 | 2015-06-19 |
| 1497021216 | Kevin James Robertson | Dentist | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-03-26 |
| 1477757904 | Kevin C Robertson | Specialist/Technologist | 9930 Johnnycake Ridge Rd, Suite 6b, Mentor, OH 44060-6752 | 2007-06-11 |
| 1295955441 | Kevin Clark Robertson | Physician Assistant | 125 Eucalyptus Dr, El Segundo, CA 90245-3839 | 2007-04-30 |
| 1609948918 | Kevin R Robertson | Psychologist | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-11-14 |
| 1780774562 | Kevin Wallace Robertson | Family Medicine | 1375 S Lapeer Rd, Suite 106, Lake Orion, MI 48360-1421 | 2006-10-13 |
| Street Address |
3205 GLACIER RIDGE RD |
| City | MIDDLETON |
| State | WI |
| Zip Code | 53562-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770143802 | Taylor Moore | Chiropractor | 6629 University Ave Ste 101, Middleton, WI 53562 | 2019-06-20 |
| 1558861302 | Nissenbaum and Schleusner Pro Physical Therapy LLC | Physical Therapist | 6649 University Ave Ste 100, Middleton, WI 53562 | 2018-02-19 |
| 1750804514 | University of Wisconsin Hospitals and Clinics Authority | Pharmacy | 3185 Deming Way, Middleton, WI 53562 | 2017-07-24 |
| 1285165803 | Julie Zimmerman | Pharmacist | 7414 Voss Pkwy, Middleton, WI 53562 | 2017-03-24 |
| 1982072773 | Gina Craig | Physical Therapist | 2521 Allen Boulevard, Middleton, WI 53562 | 2015-09-10 |
| 1588030464 | Nicholas Capote | Pharmacist | 600 Highland Avenue, F6/133, Madison, WI 53562 | 2015-08-14 |
| 1679975734 | Emily Herzog | Nurse Practitioner | 7248 Squire Cir, Middleton, WI 53562 | 2014-09-20 |
| 1942620752 | Brooke Michelle Moungey | Emergency Medicine | 8540 Greenway Blvd, Middleton, WI 53562 | 2014-04-18 |
| 1962820027 | Jennifer Ciske Larson | Ophthalmology | 2349 Deming Way Deming Way Eye Clinic, Middleton, WI 53562 | 2014-04-04 |
| 1740525971 | Sara E.m. Nichols | Veterinarian | 1612 N. High Point Rd., Middleton, WI 53562 | 2012-11-28 |
| Find all providers in zip 53562 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750827556 | Daniel Butz M.d., S.c. | Plastic Surgery | 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 | 2017-01-17 |
| 1508122938 | Stephanie Suprenant | Plastic Surgery | Uw Hospital and Clinics 600 Highland Ave, H4/831, Madison, WI 53792-0001 | 2012-04-10 |
| 1770862054 | Alex Colque, M.d. S.c. | Plastic Surgery | 21675 E Moreland Blvd, Suite 100, Waukesha, WI 53186 | 2011-08-04 |
| 1114198660 | Ruedi Peter Gingrass | Plastic Surgery | 7130 Wellauer Dr, Wauwatosa, WI 53213-3767 | 2008-03-12 |
| 1669695284 | Fox Valley Plastic Surgery, S.c. | Plastic Surgery | 2400 Witzel Ave, Suite A, Oshkosh, WI 54904-8369 | 2007-04-11 |
| 1528105897 | Alex Colque | Plastic Surgery | 21675 E. Moreland Blvd., Suite 100, Waukesha, WI 53186-2906 | 2007-01-30 |
| 1568532521 | Maida Ann Parkins | Plastic Surgery | W307 N1497 Golf Rd, Suite 200, Delafield, WI 53018 | 2006-11-08 |
| 1720183130 | Michelle R Bonness | Plastic Surgery | 20320 W Greenfield Ave, Brookfield, WI 53045-3737 | 2006-09-13 |
| 1831116797 | Steven C Schmidt | Plastic Surgery | 2605 Development Dr, Green Bay, WI 54311-4240 | 2006-07-16 |
| 1154375996 | Roger C Mixter | Plastic Surgery | 5201 N Port Washington Rd, Milwaukee, WI 53217-4902 | 2006-05-19 |
| 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.