Jeffrey R Robertson (NPI# 1578513438, PAC ID# 4082601950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1578513438 |
| PAC ID by PECOS | 4082601950 |
| Professional Enrollment ID | I20040527001043 |
| Full Name | Jeffrey R Robertson |
| Address |
6840 Prairie Run Ave Portage IN 46368-2665 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1982 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6840 Prairie Run Ave, Portage, IN 46368-2665 |
| Street Address |
6840 PRAIRIE RUN AVE |
| City | PORTAGE |
| State | IN |
| Zip | 46368-2665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol Barbara Hillmann | Clinical Psychologist | 2610 Portage Mall, Portage, IN 46368-3008 | |
| Kim Paul Cory | Optometry | 6509 Central Ave, Portage, IN 46368-3101 | |
| Scott A Cory | Ophthalmology | 6509 Central Ave, Portage, IN 46368-3101 | |
| Daniel R Dewar | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Michael A Villanueva | Chiropractic | Dewar Chiropractic Inc. | 2686 Willowcreek Rd B, Portage, IN 46368-3550 |
| Jesse T Murphy | Podiatry | Podiatric Medical Associates PC | 6289 Central Ave, Portage, IN 46368-3725 |
| David Parks | Psychologist, Clinical | 6337 Central Ave, Portage, IN 46368-3801 | |
| Jaclyn Renee Stitt | Chiropractic | 6325 Central Ave, Portage, IN 46368-3801 | |
| Shreyas Arvind Desai | Internal Medicine | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Ileana Green | Nurse Practitioner | Internal Medicine,geriatrics and Oncology Group, P.C. | 2640 Hamstrom Rd, Portage, IN 46368-3832 |
| Find all physicians in zip 46368 | |||
| City | PORTAGE |
| Zip Code | 46368 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PORTAGE + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.