MR. TIMOTHY DALTON ROBERTSON (NPI# 1750809067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750809067 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY DALTON ROBERTSON |
| Practice Address |
718 Magnolia Dr Tuscaloosa AL 35487-0001 |
| Mailing Address |
538 Hargrove Rd Tuscaloosa AL 35401-4930 |
| Practice Telephone | 2564780212 |
| Mailing Telephone | 2564780212 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790290047 | Timothy Malcom Robertson | Technician | 184 Blacklog Road, Fort Gay, WV 25514 | 2017-12-08 |
| 1538415583 | Timothy Wayne Robertson Jr. | Physician Assistant | 4427 N Vineyard Meadow Ln, Katy, TX 77449-3445 | 2012-07-27 |
| 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 |
| 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 |
718 MAGNOLIA DR |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35487-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730608407 | Logan Kate Burton | Student in an Organized Health Care Education/Training Program | 718 Magnolia Dr, Tuscaloosa, AL 35487-0001 | 2017-09-14 |
| 1316466071 | Alyssa Tolentino | Specialist/Technologist | 718 Magnolia Dr, Tuscaloosa, AL 35487-0001 | 2017-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235838 | Allie Sheree Mccarthy | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1235780396 | Jenna Boyer | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1144871203 | Genoa Rodgers | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1528619681 | Dalton Pollard | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1144871211 | Parker Carmichael | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1053962126 | Autumn Dawkins | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1962053033 | Kaitlyn Anne Towers | Specialist/Technologist | 504 University Boulevard, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1518518661 | Maya Turner | Specialist/Technologist | 504 University Blvd, Tuscaloosa, AL 35487 | 2019-09-20 |
| 1083133748 | John Michael Miller Jr. | Student in an Organized Health Care Education/Training Program | 718 Magnolia Drive, Tuscaloosa, AL 35487 | 2017-09-13 |
| 1740709492 | Jonathon Blake Danford | Student in an Organized Health Care Education/Training Program | 718 Magnolia Drive, Tuscaloosa, AL 35487 | 2017-09-13 |
| Find all providers in zip 35487 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437775996 | Asha Parr Hall | Student in an Organized Health Care Education/Training Program | 137 52nd St, Tuscaloosa, AL 35405-4900 | 2020-06-21 |
| 1437787256 | Morgan Gray | Student in an Organized Health Care Education/Training Program | 2109 Capital Hall Ua Athletic Training Program, Tuscaloosa, AL 35487-0001 | 2020-03-28 |
| 1215564398 | Addison Grace Trower | Student in an Organized Health Care Education/Training Program | 2109 Capital Hall, Tuscaloosa, AL 35487-0001 | 2020-03-26 |
| 1366007965 | Maddie Rose Edwards | Student in an Organized Health Care Education/Training Program | 1611 4th Ave Bldg A, Tuscaloosa, AL 35401-3515 | 2019-05-08 |
| 1801390299 | Stephanie Digiovanni Kinsley | Student in an Organized Health Care Education/Training Program | 850 Peter Bryce Blvd # D209, Tuscaloosa, AL 35401-7457 | 2018-03-20 |
| 1861911521 | Mallory Torkelson | Student in an Organized Health Care Education/Training Program | 430 Wesley Pl, Tuscaloosa, AL 35401-2068 | 2017-09-13 |
| 1053830703 | Peyton Thomas Lee | Student in an Organized Health Care Education/Training Program | 530 Frank Thomas Ave Apt 37, Tuscaloosa, AL 35401-2257 | 2017-09-13 |
| 1477090082 | Alison Costello | Student in an Organized Health Care Education/Training Program | Russell Hall University Blvd, Tuscaloosa, AL 35487-0001 | 2017-01-21 |
| 1588949150 | Heather Skipper | Student in an Organized Health Care Education/Training Program | 14426 Old Greensboro Rd, Tuscaloosa, AL 35405-9178 | 2011-10-14 |
| 1417172982 | Veronica Faye Perry | Student in an Organized Health Care Education/Training Program | 2201 48th St E Apt 1414, Tuscaloosa, AL 35405-5897 | 2007-04-17 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35487 |
Please comment or provide details below to improve the information on MR. TIMOTHY DALTON ROBERTSON.
| 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.