MR. TIMOTHY WAYNE ROBERTSON JR. (NPI# 1538415583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538415583 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY WAYNE ROBERTSON JR. |
| Credential | LSA, CSA |
| Practice Address |
4427 N Vineyard Meadow Ln Katy TX 77449-3445 |
| Practice Telephone | 8322488635 |
| Mailing Telephone | 8322488635 |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2020-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
SA00487 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | N/A | SA00487 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290047 | Timothy Malcom Robertson | Technician | 184 Blacklog Road, Fort Gay, WV 25514 | 2017-12-08 |
| 1255365300 | Timothy Wayne Robertson | Optometrist | 400 Solano St, Corning, CA 96021-3433 | 2006-07-11 |
| 1720067432 | Timothy Scot Robertson | Emergency Medicine | 26 Spring Basket Trl, The Woodlands, TX 77389 | 2006-01-11 |
| 1154328151 | Timothy Walter Robertson | Pharmacist | 10150 Brook Rd, Glen Allen, VA 23059-6514 | 2005-07-05 |
| 1750809067 | Timothy Dalton Robertson | Student in an Organized Health Care Education/Training Program | 718 Magnolia Dr, Tuscaloosa, AL 35487-0001 | 2017-09-07 |
| 1407282932 | Timothy Ross Robertson | Counselor | 3940 E 56th St, Indianapolis, IN 46220-5963 | 2013-09-16 |
| 1346440120 | Timothy Luke Robertson | Speech-Language Pathologist | 600 N. Main, Leeton, MO 64761 | 2007-07-20 |
| 1356375034 | Timothy L Robertson | Nurse Practitioner | 1400 Coulter, Amarillo, TX 79106 | 2006-07-10 |
| 1144270299 | Timothy John Robertson | Psychiatry & Neurology | 1400 Bellinger St, Eau Claire, WI 54703-5222 | 2006-05-11 |
| Street Address |
4427 N VINEYARD MEADOW LN |
| City | KATY |
| State | TX |
| Zip Code | 77449-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699294751 | Wb Assisting LLC | Physician Assistant | 4427 N Vineyard Meadow Ln, Katy, TX 77449-3445 | 2017-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454507 | Mariah Maldonado | Behavior Technician | 2502 Providence Point Dr., Katy, TX 77449 | 2020-10-12 |
| 1053927863 | Helping Hands Senior Care, LLC | Home Health | 20135 Cable Brook Ln, Katy, TX 77449 | 2020-09-17 |
| 1730706953 | Erliz Jessenia Maldonado | Nurse Practitioner | 3919 N Fry Road, Katy, TX 77449 | 2020-07-03 |
| 1154956225 | Jptx Pllc | Dentist | 3011 West Grand Parkway North, Suite 200, Katy, TX 77449 | 2020-03-09 |
| 1831737345 | Tmd Services LLC | Non-emergency Medical Transport (VAN) | 21022 Iris Bloom Street, Katy, TX 77449 | 2019-12-16 |
| 1558911081 | Samatha Renee Morris | Technician | 27427 Slate Crossing Lane, Katy, TX 77449 | 2019-09-17 |
| 1275188518 | Sanitas Medical Center of Texas Pa | Clinic/Center | 2610 N. Mason Rd, Katy, TX 77449 | 2019-08-05 |
| 1265087472 | Sanitas Medical Center of Texas Pa | Family Medicine | 2610 North Mason Road, Katy, TX 77449 | 2019-08-05 |
| 1255993192 | Chelsea Rae Mitchell | Counselor | 21606 Ivory Gate Ln, Katy, TX 77449 | 2019-07-01 |
| 1376104992 | Vision Republic, Pllc | Optometrist | 23021 Mortan Ranch Rd., Ste D, Katy, TX 77449 | 2019-06-25 |
| Find all providers in zip 77449 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642000 | Berakah Us Services, LLC | Physician Assistant | 3227 Thicket Path Way, Katy, TX 77493-4451 | 2019-07-26 |
| 1467015222 | Texas Orthopedic Spine Management | Physician Assistant | 10406 Mossback Pine Rd, Katy, TX 77494-1887 | 2019-04-17 |
| 1538603857 | Felix M Zequeira | Physician Assistant | 5231 Shadow Breeze Ln, Katy, TX 77494 | 2016-12-05 |
| 1598212912 | Sothary Buth | Physician Assistant | 3300 Falcon Landing Blvd Apt 7104, Katy, TX 77494-7767 | 2016-09-01 |
| 1437503026 | Matos Surgical First Assistant Pllc | Physician Assistant | 19618 Little Pine Ln, Katy, TX 77449-2673 | 2016-04-20 |
| 1396125241 | Hilda Elena Roche Sr. | Physician Assistant | 1007 S Mason Rd Apt 805, Katy, TX 77450 | 2015-06-05 |
| 1134510555 | First Assistant Care of Texas | Physician Assistant | 1134 Lake Grayson Dr, Katy, TX 77494-4709 | 2015-02-06 |
| 1477895670 | Katy First Assistants LLC | Physician Assistant | 701 S Fry Rd Ste 115, Katy, TX 77450-2243 | 2013-03-26 |
| 1417190372 | Emmanuel A. Alcoseba | Physician Assistant | 403 New Hope Ln, Katy, TX 77494-0285 | 2009-04-08 |
| 1861630329 | Lm Surgi-call, Surgical Assistance, LLC | Physician Assistant | 2718 Durham Chase Ln, Katy, TX 77449-4739 | 2009-01-21 |
| Find all providers in KATY | ||||
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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.