MICHAEL A ROBERTSON (NPI# 1184655409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184655409 |
| Entity Type | Individual |
| Full Name | MICHAEL A ROBERTSON |
| Credential | MD |
| Practice Address |
8075 N Shadeland Ave Suite 200 Indianapolis IN 46250-2693 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176218500 |
| Practice Fax Number | 3176218501 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
01062394A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
01062394A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE PTAN | P01214702 | 01 |
| IN | AETNA | 2686300 | 01 |
| IN | 200846350A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952672610 | Michael Austin Robertson | Dentist | 2730 Country Club Rd Ste A, Lucas, TX 75002-8781 | 2012-01-25 |
| 1154528701 | Michael R Robertson | Pharmacist | 7467 Saint Andrews Rd Ste 6, Irmo, SC 29063-2876 | 2007-06-28 |
| 1689878290 | Michael Robertson | Psychologist | 604 1st St Ste 100, Princeton, MN 55371-1606 | 2007-06-14 |
| 1033263439 | Michael D Robertson | Psychiatry & Neurology | 1709 Bragaw St, Suite A, Anchorage, AK 99508-3436 | 2007-01-22 |
| 1467545939 | Michael Stephen Robertson | Pharmacist | 6109 Fort Ave, Lynchburg, VA 24502-1933 | 2006-10-02 |
| 1255311791 | Michael Robertson | Nurse Anesthetist, Certified Registered | 8801 S 101 E Ave, Tulsa, OK 74133 | 2006-01-19 |
| 1053392126 | Michael Alexander Robertson Sr. | Physician Assistant | Delorenzo Health Clinic, Pentagon, Arlington, VA 22202 | 2005-11-07 |
| 1306840798 | Michael Anthony Robertson | Chiropractor | 118 E John Carpenter Fwy, Suite 150, Irving, TX 75062-3569 | 2005-06-13 |
| 1417301664 | Michael J Robertson | Family Medicine | 5275 State Route 122 Ste 100, Franklin, OH 45005-9617 | 2016-04-14 |
| 1184086290 | Michael Joseph Robertson | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2016-03-28 |
| Street Address |
8075 N SHADELAND AVE SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46250-2693 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005289 | Angela Kaye Unfried | Physician Assistant | 8075 N Shadeland Ave, Suite 120, Indianapolis, IN 46250-2693 | 2005-07-01 |
| 1780158352 | Kay Ellen Simon | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2019-01-17 |
| 1831667823 | Jaswinder Jalf | Nurse Practitioner | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-11-07 |
| 1588130108 | Diane Marie Doty | Clinical Nurse Specialist | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2018-10-22 |
| 1457887622 | Kelly Ann Lowe | Registered Nurse | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2017-05-10 |
| 1548713290 | Lacey Keller | Registered Nurse | 8075 N Shadeland Ave, Ste 200, Indianapolis, IN 46250-2693 | 2016-07-29 |
| 1326480948 | Kelly L Warren | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-07-24 |
| 1780025247 | Community Health Network | General Acute Care Hospital | 8075 N Shadeland Ave, Indianapolis, IN 46250-2693 | 2013-07-12 |
| 1780021758 | Kendra Marie Storer | Registered Nurse | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-30 |
| 1356787493 | Jennifer Ruth Heisick | Nurse Practitioner | 8075 N Shadeland Ave, Suite 200, Indianapolis, IN 46250-2693 | 2013-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861037004 | Angela L Davis | Pharmacist | 8520 Bash St, Indianapolis, IN 46250 | 2019-11-12 |
| 1710455738 | Physicians Wellness Associates LLC | Family Medicine | 4735 Statesmen Drive, Suite C, Indianapolis, IN 46250 | 2018-11-07 |
| 1891222584 | Confidential Drug LLC | Pharmacy | 8520 Bash St Ste D, Indianapolis, IN 46250 | 2017-05-12 |
| 1659813590 | Occupational Health Centers of The Southwest Pa | Clinic/Center | 8257 Center Run Rd, Indianapolis, IN 46250 | 2016-11-09 |
| 1194275669 | Lucina Treatment Center, LLC | Internal Medicine | 8140 Castleton Rd, Indianapolis, IN 46250 | 2016-10-09 |
| 1609126150 | Joseph Lee Deck | Physical Therapist | 7400 Jewel Lane, Indianapolis, IN 46250 | 2012-09-12 |
| 1447508254 | Choices Coordinated Care Solutions, Inc. | Clinic/Center | 7941 Castleway Drive, Indianapolis, IN 46250 | 2012-08-28 |
| 1568719854 | Lynda L. Blackwelder, LLC | Marriage & Family Therapist | 4735 Statesmen Dr., Suite A, Indianapolis, IN 46250 | 2012-08-06 |
| 1972859452 | Courtney B. Cortez | Nurse Practitioner | 12400 N Meridian Ste 100, Suite 500, Indianapolis, IN 46250 | 2012-08-02 |
| 1861761934 | Kb Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8455, Castlewood Drive, Suite J, Idianapolis, IN 46250 | 2011-12-20 |
| Find all providers in zip 46250 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710485594 | Optimal Health Network of Indiana LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2018-01-26 |
| 1205275948 | Benjamin Thomas Maatman | Internal Medicine | 8075 N Shadeland Ave Ste 500, Indianapolis, IN 46250-2693 | 2013-06-16 |
| 1972065415 | Cind Care of In II, LLC | Internal Medicine | 120 E Market St Ste 1271, Indianapolis, IN 46204-3250 | 2019-04-03 |
| 1780868786 | Michael M Ross | Internal Medicine | 705 Riley Hospital Dr, Ri 1134, Indianapolis, IN 46202-5109 | 2007-12-27 |
| 1255448064 | Paul Terry Batties, Md, Inc. | Internal Medicine | 1633 N Capitol Ave, Suite #510, Indianapolis, IN 46202-1261 | 2006-08-25 |
| 1043327851 | Paul Terry Batties | Internal Medicine | 1801 N Senate Ave, Indianapolis, IN 46202 | 2006-08-25 |
| 1861427775 | Cccg, LLC | Internal Medicine | 1801 Senate Blvd, Methodist Professional Center, Suite 310, Indianapolis, IN 46202-1228 | 2006-07-11 |
| 1609819226 | Soo H. Park | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2006-06-13 |
| 1407828817 | Saeed R Shaikh | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2006-02-02 |
| 1225009749 | William J Berg | Internal Medicine | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2006-02-01 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46250 |
Please comment or provide details below to improve the information on MICHAEL A 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.