COURTNEY L ROBERTSON (NPI# 1871521120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871521120 |
| Entity Type | Individual |
| Full Name | COURTNEY L ROBERTSON |
| Credential | MD |
| Practice Address |
600 N Wolfe St Baltimore MD 21287-0005 |
| Mailing Address |
Po Box 64382 Baltimore MD 21264-4382 |
| Practice Telephone | 4109556412 |
| Mailing Telephone | 4109335460 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2010-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
D55069 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 307603200 | 05 | |
| MD | 026484900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649725953 | Courtney Robertson | Acupuncturist | 1788 Penfield Rd, Suite 3, Penfield, NY 14526-2125 | 2016-08-17 |
| 1053946681 | Courtney Robertson | Nurse Practitioner | 2344 S Church St, Burlington, NC 27215-5332 | 2020-03-04 |
| 1407492325 | Courtney Robertson | Nurse Practitioner | 213 Nw 10th St Ste A, Fairfield, IL 62837-1219 | 2019-11-26 |
| 1336782697 | Courtney Jane Robertson | Counselor | 3002 Armstrong St, San Diego, CA 92111-5702 | 2019-10-18 |
| 1750885174 | Courtney Robertson | Physician Assistant | 1290 Diamond Springs Rd, Virginia Beach, VA 23455-3701 | 2018-03-20 |
| 1235650037 | Courtney Robertson | Rehabilitation Practitioner | 4285 N Rancho Dr, Las Vegas, NV 89130-3446 | 2017-06-30 |
| 1285955120 | Courtney Alaine Robertson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2010-06-15 |
| 1619207149 | Courtney Williford Robertson | Speech-Language Pathologist | 130 Condor St, East Boston, MA 02128-1305 | 2010-01-06 |
| Street Address |
600 N WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21287-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457354821 | Earl Randy Craven | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2005-05-31 |
| 1487255279 | Elizabeth Dejaeghere | Physician Assistant | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-06 |
| 1386245751 | Johns Hopkins University | Psychiatry & Neurology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-11-03 |
| 1770182560 | Abdulrahman Mohammed Gomaa Abodarahim | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-22 |
| 1760081079 | Jose Daniel Llaque Salazar | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-10-19 |
| 1891302402 | Everardo Hernandez Quintela | Ophthalmology | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-09-28 |
| 1891307997 | Abby Holland Keen | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-19 |
| 1184235004 | Molly Ruhl | Physician Assistant | 600 N Wolfe St, Halsted 600, Baltimore, MD 21287-2128 | 2020-08-13 |
| 1083224596 | Johns Hopkins University | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-08-10 | |
| 1265041032 | Carlos Fairen Oro | Surgery | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2020-07-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140503 | Thomas Dimitrios Zaikos | Student in an Organized Health Care Education/Training Program | Pathology Building Rm. 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2020-07-01 |
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1790318657 | Margaret Geraldine Keane | Internal Medicine | Sheikh Zayed Tower, 1800 Orleans St, Baltimore, MD 21287 | 2020-02-19 |
| 1699322636 | Lakeya Mcgill | Student in an Organized Health Care Education/Training Program | 600 North Wolfe St, Phipps 174, Baltimore, MD 21287 | 2019-08-23 |
| 1245882406 | Ranim Amer Ibrahim Alsaad | Student in an Organized Health Care Education/Training Program | 1800 Orleans Street - Johns Hopkins Hospital, Tower 110, Baltimore, MD 21287 | 2019-07-09 |
| 1992364004 | Anthony David Pisaniello | Student in an Organized Health Care Education/Training Program | 1800 Orleans St, Johns Hopkins Hospital, Baltimore, MD 21287 | 2019-06-12 |
| 1255990503 | Ethan Tumarkin | Student in an Organized Health Care Education/Training Program | 600 N. Wolfe St./halsted 500, Baltimore, MD 21287 | 2019-06-11 |
| 1629636386 | Kathleen Anne Malloy | Counselor | Jhh 600 N. Wolfe St., Cpp- Meyer 144, Baltimore, MD 21287 | 2019-05-29 |
| 1285298489 | Ashleigh Graham | Student in an Organized Health Care Education/Training Program | Pathology Building, Rm 401, 600 N. Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
| 1851955066 | Seena Tabibi | Student in an Organized Health Care Education/Training Program | Pathology Department Johns Hopkins University Som, Pathology Building Rm 401, 600 North Wolfe Street, Baltimore, MD 21287 | 2019-04-24 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572175 | Sarah Branigan | Pediatrics | Johns Hopkins Children's Center, 1800 Orleans Street, Baltimore, MD 21287 | 2020-03-11 |
| 1033740980 | Jessica Lachelle Wagner Gregg | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1590 | 2020-01-29 |
| 1891333969 | Jaime Esbensen Doroba | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2019-12-19 |
| 1083032346 | Marie Emeline Pierre Louis | Pediatrics | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2014-04-03 |
| 1316280001 | Natalie S Torres-feliz | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2013-04-01 |
| 1346545183 | Osei Kofi Owusu | Pediatrics | 2401 W Belvedere Ave, Baltimore, MD 21215-5216 | 2011-01-25 |
| 1508009291 | Elizabeth Winans Tucker | Pediatrics | 1800 Orleans St, Baltimore, MD 21287-0010 | 2009-04-11 |
| 1902077555 | Chinyere Egbuta | Pediatrics | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2008-03-21 |
| 1366571697 | Steven R Coleman | Pediatrics | 22 S Greene St, Baltimore, MD 21201-1544 | 2007-03-04 |
| 1194862102 | Melania M Bembea | Pediatrics | 600 N Wolfe St, Blalock 904, Baltimore, MD 21287-0005 | 2007-01-31 |
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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.