JOHN WARREN ROBERTSON III (NPI# 1770511578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770511578 |
Entity Type | Individual |
Full Name | JOHN WARREN ROBERTSON III |
Credential | MD |
Practice Address |
1940 E Walnut Lane Philadelphia PA 19138 |
Practice Telephone | 2154247099 |
Practice Fax Number | 2154240706 |
Mailing Telephone | 2154247099 |
Mailing Fax Number | 2154240706 |
Enumeration Date | 2006-06-29 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD044947E | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 001304593007 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952763088 | John Robertson | Physical Therapist | 2901 Squalicum Way, Bellingham, WA 98225 | 2016-03-28 |
1902196181 | John Robertson | Pharmacist | 111 E Saginaw St, East Lansing, MI 48823-2737 | 2011-04-09 |
1447401492 | John Robertson Jr. | Family Medicine | 1050 Kings Hwy N Ste 105, Cherry Hill, NJ 08034 | 2008-10-08 |
1386797223 | John Hibbard Robertson | Dentist | 825 Eden Rd, Lancaster, PA 17601-4713 | 2007-01-22 |
1437217239 | John Keith Robertson | Dentist | 200 Washington St Se, Blacksburg, VA 24060-4838 | 2006-12-05 |
1821059478 | John A. Robertson | Family Medicine | 700 24th Ave, Nw, Oklahoma City, OK 73069 | 2006-03-31 |
1912971169 | John Scott Robertson | Psychologist | 5215 79th St, Lubbock, TX 79424-2832 | 2006-02-15 |
1770571804 | John Yeardley Robertson | Family Medicine | 1478 W Main St, Newark, OH 43055-3687 | 2005-10-12 |
1013918796 | John M Robertson | Psychologist | 1441 Wakarusa Dr, Suite 200, Lawrence, KS 66049-3832 | 2005-08-03 |
1154895746 | John W Robertson | Counselor | 609 Northshore Dr, Bellingham, WA 98226-4414 | 2019-01-16 |
Street Address |
1940 E WALNUT LANE |
City | PHILADELPHIA |
State | PA |
Zip Code | 19138 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043788227 | Clinica Pharmacy Inc | Pharmacy | 7157 Ogontz Ave, Philadelphia, PA 19138 | 2018-11-06 |
1184152308 | Prime Choice Dental, Inc | Dentist | 7155 Ogontz Ave, Philadelphia, PA 19138 | 2017-06-01 |
1063950376 | Prodigy Home Care | Home Health | 6137 Limekiln Pike, Phiadelphia, PA 19138 | 2017-02-07 |
1194275313 | William Gary George Jr. | Marriage & Family Therapist | 7101 N 20th St., Phila, PA 19138 | 2016-10-12 |
1790234490 | Gary Downing | Counselor | 5702 Boyer St., Philadelphia, PA 19138 | 2016-09-23 |
1093153785 | Northwest Medical & Rehabilitation Center PC | Internal Medicine | 6315 Stenton Ave, Philadelphia, PA 19138 | 2013-06-05 |
1902045586 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5301 Chew Ave. B1, Philadelphia, PA 19138 | 2009-02-05 |
1588848477 | Tasha Carol Smith | Licensed Practical Nurse | 6947 Cedarpark Avenue, Phiadelphia, PA 19138 | 2007-12-27 |
1730107970 | Gregory Alan Nelson | Internal Medicine | 6315-17 Stenton Avenue, Philadelphia, PA 19138 | 2006-07-17 |
1588699706 | Michael D Helzner | Family Medicine | 1909/17 E Washington Lane, Philadelphia, PA 19138 | 2006-07-12 |
Find all providers in zip 19138 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1720630650 | Broad Street Professional Medical Services LLC | Surgery | 2033 S Broad St Ste A, Philadelphia, PA 19148-5505 | 2019-07-11 |
1124670922 | Broad Street Medical LLC | Surgery | 2033 S Broad St Ste B, Philadelphia, PA 19148-5505 | 2019-07-11 |
1336515956 | Aria Health Physician Services | Surgery | 9501 Roosevelt Blvd Ste 312, Philadelphia, PA 19114-1028 | 2015-08-18 |
1154447175 | Robert Singh | Surgery | 1900 Market St, Suite 115, Philadelphia, PA 19103-3527 | 2007-03-21 |
1851917959 | Ann Yufa | Surgery | 5501 Old York Rd Ste 1, Philadelphia, PA 19141-3098 | 2020-06-24 |
1205497104 | Alexander Lam | Surgery | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2019-06-23 |
1396228508 | Temple Faculty Practice Plan, Inc | Surgery | 3509 N Broad St, Philadelphia, PA 19140-4105 | 2018-09-13 |
1578053492 | Ziad Al Adas | Surgery | 3400 Spruce St, 4th Floor Maloney Building, Philadelphia, PA 19104-4238 | 2018-05-16 |
1235665308 | Christopher Blackstock | Surgery | 3400 Spruce St, Dept of Surgery, 4th Floor Maloney, Philadelphia, PA 19104-4238 | 2017-05-10 |
1932635323 | Alexander Fairman | Surgery | 3400 Spruce St, Philadelphia, PA 19104-4238 | 2017-05-04 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19138 |
Please comment or provide details below to improve the information on JOHN WARREN ROBERTSON III.
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.