MATTHEW GLEN ROBERTSON


Address: 640 Jackson St, Saint Paul, MN 55101
Phone: 6514956600

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455 6126256483

Other Providers MATTHEW ROBERTSON

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

Office Location

Street Address 640 JACKSON ST
City SAINT PAUL
State MN
Zip Code 55101

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

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City SAINT PAUL
Zip Code 55101

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Dataset Information

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.

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