DR. THERESA ELIZABETH ROBERTSON (NPI# 1215019518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215019518 |
| Entity Type | Individual |
| Full Name | DR. THERESA ELIZABETH ROBERTSON |
| Credential | MD |
| Practice Address |
4320 Wornall Rd Ste 530 Kansas City MO 64111-5942 |
| Mailing Address |
901 E 104th St # Ms 400s Kansas City MO 64131-4517 |
| Practice Telephone | 8169327900 |
| Practice Fax Number | 8169329868 |
| Mailing Telephone | 8165028752 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2018-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 22642 | MS | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
2004031001 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2407015 | 05 | |
| MS | 08220715 | 05 |
| Street Address |
4320 WORNALL RD STE 530 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64111-5942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326074006 | Sean Allen Nix | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2006-06-24 |
| 1386276434 | Abigayle Rose Mcgrew | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2020-02-06 |
| 1417315839 | Marci Cunningham | Physician Assistant | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2016-01-30 |
| 1104203058 | Stephanie Elaine Bollenbach | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2015-04-29 |
| 1811384373 | Paul Bennett Brock Jr. | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2015-04-22 |
| 1700204559 | Barbara Nguyen | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2014-03-30 |
| 1417247800 | Robert Amajoyi | Colon & Rectal Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2011-04-19 |
| 1568773372 | Thuan Nguyen | Plastic Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2010-06-25 |
| 1306072459 | Julie Lynn Porter | Nurse Practitioner | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2009-06-03 |
| 1457504722 | Leo Andrew Osifuye Benedict | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111 | 2008-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242810 | Kristen Casey | Psychologist | 4050 Pennsylvania Ave Ste 115, Pmb 2746, Kansas City, MO 64111 | 2020-07-09 |
| 1336765015 | Tyler Hoelting | Chiropractor | 3611 Main Street, Kansas City, MO 64111 | 2020-06-18 |
| 1003452764 | Sarah Anne Heavey | Nurse Practitioner | 4300 Wornall Road, Ste 2000, Kansas City, MO 64111 | 2019-11-18 |
| 1558844241 | Guardian Angels, LLC | Home Health | 4049 Pennsylvania Ave, Kansas City, MO 64111 | 2018-09-10 |
| 1730669169 | Hannah Eagleburger | Physician Assistant | 4321 Wornall Rd, Ste 530, Kansas City, MO 64111 | 2018-08-15 |
| 1316460835 | Kandace Callwell | Counselor | 4106 Baltimore Ave, Kansas City, MO 64111 | 2017-07-18 |
| 1780046250 | Sara Koenemann | Nurse Practitioner | 4400 Broadway St., Ste. 520, Kansas City, MO 64111 | 2016-03-24 |
| 1932586245 | Suzzette Griffith | Acupuncturist | 406 W 34th Street Ste 812, Kansas City, MO 64111 | 2015-05-06 |
| 1972999225 | Timothy O Olatunde | Emergency Medicine | 4410 Wornall Road, Kansas City, MO 64111 | 2015-04-14 |
| 1730595026 | Morgan Nelson | Audiologist | 4230 Wornall Road, Suite 420, Kansas City, MO 64111 | 2014-07-07 |
| Find all providers in zip 64111 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1326074006 | Sean Allen Nix | Surgery | 4320 Wornall Rd Ste 530, Kansas City, MO 64111-5942 | 2006-06-24 |
| 1801115530 | Richard Sola Jr. | Surgery | 2401 Gillham Rd, Kansas City, MO 64108 | 2010-05-20 |
| 1679739544 | David Juang | Surgery | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2008-07-31 |
| 1043308083 | Rosa Elizabeth Turcios | Surgery | 2330 E Meyer Blvd, Ste T209, Kansas City, MO 64132-1132 | 2006-10-11 |
| 1013941202 | Steven L Glorsky | Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518935568 | Ann Lutzeier Peick | Surgery | 621 S. New Ballas Rd., Suite 560a, St Louis, MO 63141-8232 | 2006-03-08 |
| 1144563230 | Anne Elizabeth Wyman | Surgery | 10010 Kennerly Rd, Saint Louis, MO 63128-2106 | 2013-03-27 |
| 1063704070 | Michelle Leah Medintz | Surgery | 4901 Forest Park Ave, Ste 340, Saint Louis, MO 63108-1495 | 2011-05-10 |
| 1073740890 | Chun-cheng Chen | Surgery | 4901 Forest Park Ave Ste 420, Ste 420, Saint Louis, MO 63108-1453 | 2009-06-18 |
| 1225220106 | Samar Suehela Fatima Muzaffar | Surgery | One Hospital Drive, Columbia, MO 65212-0001 | 2007-08-14 |
| 1649474685 | Jeffrey Scott Litt | Surgery | One Hospital Dr, Columbia, MO 65212-0001 | 2007-06-13 |
| 1477651867 | Paolo Masetti | Surgery | 11133 Dunn Rd, Saint Louis, MO 63136-6163 | 2006-09-20 |
| 1629187505 | Pamela Sue Peigh | Surgery | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 | 2006-08-30 |
| 1083638225 | Salman Ahmad | Surgery | One Hospital Drive, Columbia, MO 65212-0001 | 2006-07-27 |
| 1972536969 | Joseph M Fugaro | Surgery | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
| City | KANSAS CITY |
| Zip Code | 64111 |
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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.