MATTHEW GLEN ROBERTSON (NPI# 1942688205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942688205 |
| Entity Type | Individual |
| Full Name | MATTHEW GLEN ROBERTSON |
| Credential | M.D. |
| Practice Address |
640 Jackson St Saint Paul MN 55101 |
| Mailing Address |
8170 33rd Ave Ms 21110q Bloomington MN 55425-4516 |
| Practice Telephone | 6514956600 |
| Practice Fax Number | 9528839677 |
| Mailing Telephone | 6514956600 |
| Mailing Fax Number | 9528839677 |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 63737 | MN | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 63737 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 | 6126256483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437199692 | Matthew Miller Robertson | Chiropractor | 3121 Springbank Ln, Suite B, Charlotte, NC 28226-3346 | 2006-06-07 |
| 1750343802 | Matthew Eric Robertson | Dentist | 5601 Brodie Ln Ste 1325, Sunset Valley, TX 78745-0010 | 2006-04-04 |
| 1386019669 | Matthew Robertson | Physical Therapist | 149 Hart St, Sheppard Afb, TX 76311-3430 | 2015-12-11 |
| 1730556549 | Matthew Robertson | Physical Therapist | 542 Berlin Cross Keys Rd, Sicklerville, NJ 08081-4367 | 2015-08-27 |
| 1326480583 | Matthew Scott Robertson | Counselor | 220 E 1st Avenue Ext, Lexington, NC 27292-3368 | 2013-07-29 |
| 1245474360 | Matthew Douglas Robertson | Psychiatry & Neurology | 330 Borthwick Ave, Suite 107, Portsmouth, NH 03801-4174 | 2009-04-21 |
| 1588825434 | Matthew Robertson | Radiology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2008-06-24 |
| 1205010592 | Matthew Paul Robertson | Nurse Practitioner | 1215 Lee St, University of Virginia Health System, Stbicu, Charlottesville, VA 22908-0816 | 2007-12-21 |
| 1174717888 | Matthew Joel Robertson | Physical Therapy Assistant | 587 Se Ermine Ave, Lake City, FL 32025-6126 | 2007-09-05 |
| 1245208214 | Matthew Lee Robertson | Otolaryngology | 1120 E Elizabeth St, #f-101, Fort Collins, CO 80524-4044 | 2006-03-08 |
| Street Address |
640 JACKSON ST |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686378 | Margaret Radermacher Schnobrich | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2005-08-12 |
| 1013518174 | Katara Jo Henderson | Student in an Organized Health Care Education/Training Program | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-11-05 |
| 1013516087 | Marit Sonnesyn | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-21 |
| 1114526027 | Carolyn Besch | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-21 |
| 1952908576 | Mckenna Rebecca Splett | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-10-06 |
| 1164029997 | Alyssa Jean Cutcher | Physical Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-05 |
| 1851998884 | Danielle Chirhart | Occupational Therapist | 640 Jackson St, Saint Paul, MN 55101-2595 | 2020-10-02 |
| 1174130389 | Frederick Schaefer Jr. | Speech-Language Pathologist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-30 |
| 1538775853 | Rebeca Joy Houle | Nurse Anesthetist, Certified Registered | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-22 |
| 1134733702 | Nicholas Honda | Pharmacist | 640 Jackson St, Saint Paul, MN 55101-2502 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508480427 | El Solutions LLC | Clinic/Center | 445 Minnesota St., Ste. 1500 12, St. Paul, MN 55101 | 2020-06-05 |
| 1689211443 | Siripa Min | Nurse Anesthetist, Certified Registered | 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 | 2019-11-28 |
| 1922590488 | Diane Mcleod | Physician Assistant | Healthpartners Regions Specialty Clinics, 640 Jackson St - Mail Stop 11109e, Saint Paul, MN 55101 | 2018-05-31 |
| 1699284919 | Eric Mcgillis | Emergency Medicine | Regions Hospital - Emergency Medicine, 11102f, 640 Jackson St, St Paul, MN 55101 | 2017-09-29 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1992182323 | Theresa Annette Cashdollar-powell | Social Worker | 640 Jackson, St Paul, MN 55101 | 2015-05-06 |
| 1770986101 | Margaret Augusta Cutter | Physician Assistant | 200 Univeristy Ave E, Saint Paul, MN 55101 | 2014-09-30 |
| 1851641419 | Lisa Rae Caturia | Occupational Therapy Assistant | 640 Jackson St, 8th Floor, St Paul, MN 55101 | 2012-09-11 |
| 1558619478 | Rph On The Go | Community/Behavioral Health | 172 E 6th Street, 704, Saint Paul, MN 55101 | 2012-08-27 |
| 1184994212 | Duyen Truong | Pharmacist | 604 Jackson Street, St. Paul, MN 55101 | 2012-01-05 |
| Find all providers in zip 55101 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1376863274 | Aneel Damle | Surgery | 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 | 2010-06-03 |
| 1083930515 | Kelsey Suzanne Berndt | Surgery | 640 Jackson St # Ms 11502v, Saint Paul, MN 55101-2502 | 2010-04-08 |
| 1376791996 | Rachel Dawn Aufforth | Surgery | 310 Smith Ave N Ste 300, Saint Paul, MN 55102-2383 | 2008-09-08 |
| 1881855104 | Benjamin Mark Martin | Surgery | 1055 Westgate Dr Ste 190, Saint Paul, MN 55114-1486 | 2008-06-19 |
| 1265488175 | Mark Simon Sneider | Surgery | 255 Smith Ave N Ste 100, Saint Paul, MN 55102-2518 | 2006-05-25 |
| 1841255932 | Mark Donald Fleming | Surgery | 225 Smith Ave N Ste 100, Saint Paul, MN 55102-2533 | 2006-04-20 |
| 1336127042 | Paul D Scott | Surgery | 280 Smith Ave N, #700, Saint Paul, MN 55102-2424 | 2006-01-03 |
| 1578099545 | Sade Marie Bell Finn | Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2017-05-11 |
| 1811420441 | Zachary Bergman | Surgery | 295 Phalen Blvd, Saint Paul, MN 55130-2400 | 2017-04-10 |
| 1992192199 | Adam Sheka | Surgery | 640 Jackson St, Saint Paul, MN 55101-2502 | 2015-04-25 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55101 |
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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.