ZACHARY ROBERTSON (NPI# 1588625701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588625701 |
| Entity Type | Individual |
| Full Name | ZACHARY ROBERTSON |
| Credential | P.A. |
| Practice Address |
1875 N Highway 66 D Catoosa OK 74015-1829 |
| Mailing Address |
Po Box 1829 D Catoosa OK 74015-1829 |
| Practice Telephone | 9183796260 |
| Practice Fax Number | 9182933149 |
| Mailing Telephone | 9183796260 |
| Mailing Fax Number | 9182933149 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1316 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609375807 | Zachary Taylor Robertson | Specialist/Technologist | 2528 Bridgewater Dr, Gainesville, GA 30506-1881 | 2018-02-03 |
| 1811382617 | Zachary Robertson | Student in an Organized Health Care Education/Training Program | 532 Northland Dr, Marquette, MI 49855-4425 | 2015-03-30 |
| 1801431523 | Zachary Robertson | Counselor | 76 Winter St, Haverhill, MA 01830-5760 | 2019-11-18 |
| 1215191168 | Zachary Martin Robertson | Ophthalmology | 5323 Harry Hines Blvd, Dallas, TX 75390-4505 | 2008-07-10 |
| Street Address |
1875 N HIGHWAY 66 D |
| City | CATOOSA |
| State | OK |
| Zip Code | 74015-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275501470 | Scott P Turner | Pediatrics | 1875 N Highway 66, Suite D, Catoosa, OK 74015-3071 | 2006-03-14 |
| 1255620902 | Access Medical Catoosa LLC | Clinic/Center | 1875 N Highway 66, Catoosa, OK 74015-3071 | 2011-04-04 |
| 1124253984 | Summit Physical Therapy and Rehab, Inc. | Physical Therapist | 1875 N Highway 66, Catoosa, OK 74015-3071 | 2009-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497396584 | Betsy Hart | Technician | 312 Chief Stan Waite Drive, Catoosa, OK 74015 | 2019-10-01 |
| 1700314986 | Laura Vo | Dentist | 1875 N Old Hwy 66 Suite A, Catoosa, OK 74015 | 2017-05-31 |
| 1275909772 | Caitlin Bruder | Speech-Language Pathologist | 523 Chief Stan Waite, Catoosa, OK 74015 | 2015-08-19 |
| 1821485491 | Mednow Urgent Care Center LLC | Clinic/Center | 2036 S Miller Lane, Suite F, Catoosa, OK 74015 | 2015-04-22 |
| 1932458312 | Green Country Dental Arts of Catoosa | Dentist | 1755 N. Highway 66, Suite C, Catoosa, OK 74015 | 2012-08-31 |
| 1588936439 | Sandra Barnes Williams | Social Worker | 750 N Cherokee Street, Suite N, Catoosa, OK 74015 | 2012-02-07 |
| 1437274529 | Hac Inc | Pharmacy | 19302 East Admiral Blvd, Catoosa, OK 74015 | 2007-03-20 |
| 1316077829 | Nancy Ann Childress-murphy | Psychiatry & Neurology | 1755 State Hwy 66, Suite F, Catoosa, OK 74015 | 2007-03-06 |
| 1528140092 | Geoffrey Michael Sims | Dentist | 1875 North Highway 66, Unit A, Catoosa, OK 74015 | 2006-10-20 |
| 1992886063 | Catoosa Health Care Center, Inc. | Nursing Facility/Intermediate Care Facility | 801 N. 193rd E. Ave., Catoosa, OK 74015 | 2006-10-17 |
| Find all providers in zip 74015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417051921 | N Devonna A'belle | Physician Assistant | 522 Heather Ridge, Catoosa, OK 74015 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392868 | James Scott Turner | Physician Assistant | 924 Nw 14th St, Moore, OK 73160-1610 | 2020-09-23 |
| 1386283679 | Cody Rice Chambers | Physician Assistant | 2002 12th Ave Nw Ste B, Ardmore, OK 73401-1206 | 2020-01-03 |
| 1073154647 | Haley Nicole Beaird | Physician Assistant | 8907 E 93rd St, Tulsa, OK 74133-5634 | 2019-10-03 |
| 1568920924 | Direct2u Urgent Care Pllc | Physician Assistant | 2417 County Road 1263, Blanchard, OK 73010-3123 | 2019-03-05 |
| 1538625660 | Symachia LLC | Physician Assistant | 115 N. Main St., Cashion, OK 73106 | 2019-02-13 |
| 1982172029 | William Landon Ross | Physician Assistant | 3705 W Memorial Rd Ste 101, Oklahoma City, OK 73134-1508 | 2018-11-07 |
| 1639646656 | Jacob Allbritton | Physician Assistant | 10824 Admiral Dr, Oklahoma City, OK 73162-6843 | 2018-10-29 |
| 1316420086 | Lauren Anto | Physician Assistant | 2824 Classen Blvd Ste 100, Norman, OK 73071-4059 | 2018-09-10 |
| 1073004768 | Shelby Teel | Physician Assistant | 1200 Everett Dr # 8305, Oklahoma City, OK 73104-5047 | 2018-05-29 |
| 1093240749 | Green's Country Clinic, LLC | Physician Assistant | 223 E Blackwell Ave, Blackwell, OK 74631-2909 | 2017-05-01 |
| 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.