ROBERT C AXELROD (NPI# 1285628099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285628099 |
| Entity Type | Individual |
| Full Name | ROBERT C AXELROD |
| Credential | MD |
| Practice Address |
600 Broadway St Longview WA 98632-3256 |
| Mailing Address |
Po Box 249 Longview WA 98632-7154 |
| Practice Telephone | 3604142236 |
| Practice Fax Number | 3604142788 |
| Mailing Telephone | 3604142048 |
| Mailing Fax Number | 3605756749 |
| Enumeration Date | 2005-09-07 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD00042630 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & IND | 0174698 | 01 |
| OR | 227372 | 05 | |
| WA | CRIME VICTIMS | 8933608 | 01 |
| RR MEDICARE | P00071313 | 01 | |
| WA | 8370652 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396922969 | Robert Allen Axelrod | Speech-Language Pathologist | 79 Ridge Rd, New City, NY 10956-6824 | 2008-01-26 |
| 1013028851 | Robert Axelrod | Dentist | 105 Technology Dr, Trumbull, CT 06611-6348 | 2006-08-31 |
| 1659789428 | Robert Axelrod | Social Worker | 6 Pidgeon Hill Drive, Suite 200, Sterling, VA 20165 | 2014-07-24 |
| Street Address |
600 BROADWAY ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710634 | Anca Balasu | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2005-06-20 |
| 1568930576 | Fresenius Kidney Care Longview, LLC | Clinic/Center | 600 Broadway St, Longview, WA 98632-3256 | 2018-11-07 |
| 1841765864 | Tod C Peterson | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2018-10-05 |
| 1861917882 | Roderick Jerome Williams | Nurse Practitioner | 600 Broadway St, Longview, WA 98632-3256 | 2017-08-10 |
| 1326490822 | Yehonatan Shilo | Psychiatry & Neurology | 600 Broadway St, Longview, WA 98632-3256 | 2016-07-07 |
| 1730547555 | Tonya Dorough | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2016-02-08 |
| 1013395094 | Bozena Drabik | Counselor | 600 Broadway St, Longview, WA 98632-3256 | 2015-05-11 |
| 1699049304 | Tanya Kehaulani Martin | Social Worker | 600 Broadway St, Longview, WA 98632-3256 | 2012-02-27 |
| 1235363763 | Joanne E Kooistra | Social Worker | 600 Broadway St, Longview, WA 98632-3256 | 2009-05-12 |
| 1679745624 | Andrea K. Street | Dietitian, Registered | 600 Broadway St, Longview, WA 98632-3256 | 2008-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197150 | Longview Psychiatric Center Pllc | Psychiatry & Neurology | 613 N 3rd St, Longview, TX 75601-6548 | 2019-11-05 |
| 1992110035 | Javen Valerie Cavazos Md Pllc | Psychiatry & Neurology | 3700 Pine Tree Rd, Longview, TX 75604-9687 | 2014-06-27 |
| 1265791172 | Rebekah Stalter | Psychiatry & Neurology | 2904 4th St, Suite 107, Longview, TX 75605-5129 | 2012-05-11 |
| 1093879330 | Pathways Physician Services Pllc | Psychiatry & Neurology | 100 W Hawkins Pkwy Ste 100, Longview, TX 75605-1864 | 2006-12-21 |
| 1760543482 | James Gregory Harold | Psychiatry & Neurology | 1300 N 6th St, Longview, TX 75601-5567 | 2006-12-13 |
| 1689757114 | John L. Hall | Psychiatry & Neurology | 1701 Centenary Dr, Longview, TX 75601-3519 | 2006-10-20 |
| 1306938410 | Monika D Singhal | Psychiatry & Neurology | 1800 Judson Road, Suite 100, Longview, TX 75605 | 2006-09-28 |
| 1306857222 | Frank Stuart Murphy | Psychiatry & Neurology | 222 N Fredonia St, Suite 250, Longview, TX 75601-7222 | 2006-08-10 |
| 1174537906 | Byron Richard Wadley | Psychiatry & Neurology | 3400 W Marshall Ave Ste 430, Longview, TX 75604-5073 | 2006-07-28 |
| 1285138347 | Ivan Noe Pawlowicz Md | Psychiatry & Neurology | 615 Clinic Dr, Longview, TX 75605-5172 | 2018-03-22 |
| Find all providers in LONGVIEW | ||||
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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.