DR. CHARLES M ROBERTSON (NPI# 1003998303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003998303 |
| Entity Type | Individual |
| Full Name | DR. CHARLES M ROBERTSON |
| Credential | MD |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Practice Telephone | 6018154775 |
| Practice Fax Number | 6019846451 |
| Mailing Telephone | 6018154775 |
| Mailing Fax Number | 6019846451 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2017-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 22557 | MS | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 2004030800 | MO | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
2004030800 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1003998303 | 05 | |
| KS | 200866220A | 05 | |
| AR | 189163001 | 05 | |
| MO | 101740085 | 05 | |
| MS | 09322818 | 05 | |
| AL | 196181 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467534479 | Charles Donald Robertson II | Chiropractor | 2258 Sutton Ln, Sutton, WV 26601-9717 | 2006-10-19 |
| 1144756099 | Charles Leonard Robertson Jr. | Dentist | 1690 S Ohio St, Martinsville, IN 46151-3317 | 2017-05-11 |
| 1477977056 | Charles Robertson | Occupational Therapist | 382 S Main St, Cheshire, CT 06410-3115 | 2014-02-18 |
| 1558797084 | Charles E Robertson II | Pharmacist | 5950 State Bridge Rd, Duluth, GA 30097-6438 | 2013-09-16 |
| 1174772495 | Charles Wayne Robertson | Physical Therapy Assistant | 2725 N Westwood Blvd, Poplar Bluff, MO 63901-2346 | 2008-09-10 |
| 1982729679 | Charles Henry Robertson | Internal Medicine | 4299 San Felipe St, Suite 300, Houston, TX 77027-2921 | 2007-03-20 |
| 1508901380 | Charles A Robertson IIi | Dentist | 4822 Holly Rd, Suite C, Corpus Christi, TX 78411-4734 | 2007-02-20 |
| 1003966458 | Charles Craig Robertson | Technician, Other | 2250 Robins Dr, Layton, UT 84041-1140 | 2007-01-10 |
| 1841355054 | Charles Robertson | Optometrist | 26 City Hall Mall, Medford, MA 02155-4754 | 2006-12-27 |
| 1619073103 | Charles R Robertson | Pediatrics | 1573 Medical Park Cir, Tupelo, MS 38801-6580 | 2006-09-15 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417333527 | Felipe R Edghill | Anesthesiology | 131 Tucker St Ste 2, Jackson, TN 38301-4055 | 2015-07-31 |
| 1659779445 | Integrated Medical Staff of Jackson PC | Anesthesiology | 828 N Parkway, Jackson, TN 38305-3032 | 2014-12-11 |
| 1891134847 | Robert J. Hamernik | Anesthesiology | 14 Arlington Park, Jackson, MS 39211-2952 | 2013-06-21 |
| 1811231046 | Ruth Eleanor Dinkins | Anesthesiology | 388 Wellington Cv, Jackson, TN 38305-6609 | 2012-11-09 |
| 1679863633 | Michael Tyler Stout | Anesthesiology | 1151 N State St Ste 311, Jackson, MS 39202-2407 | 2011-04-12 |
| 1265763270 | William Daggett IIi | Anesthesiology | 2433 Massena Dr, Jackson, MS 39211-4923 | 2010-01-15 |
| 1457507055 | Jeremy Smitherman | Anesthesiology | 1190 N State St Ste 300, Jackson, MS 39202-2413 | 2008-08-14 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1902972235 | Myra A Wheaton | Anesthesiology | 1730 Bellewood Rd, Jackson, MS 39211-5701 | 2006-11-28 |
| 1922178318 | Vicki Lynn Chew | Anesthesiology | 223 Clinton Rd, Suite 204, Jackson, CA 95642-2680 | 2006-11-09 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DR. CHARLES M ROBERTSON.
| 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.