DR. GERALD D ROBERTSON (NPI# 1336791847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336791847 |
| Entity Type | Individual |
| Full Name | DR. GERALD D ROBERTSON |
| Credential | DC |
| Practice Address |
1566 S Odell Ave Marshall MO 65340 |
| Practice Telephone | 6608865850 |
| Practice Fax Number | 6608867333 |
| Mailing Telephone | 6608865850 |
| Mailing Fax Number | 6608867333 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
2020025322 | MO | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
CHR.0008010 | CO | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801894225 | Gerald Melvin Robertson | Psychiatry & Neurology | 904 Deville Ln, Ruston, LA 71270-6313 | 2005-07-09 |
| 1831161082 | Gerald Robertson | Internal Medicine | Rehoboth Mckinley Christian Health Care Services, 2111 College Drive, Gallup, NM 87301 | 2006-02-02 |
| Street Address |
1566 S ODELL AVE |
| City | MARSHALL |
| State | MO |
| Zip Code | 65340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860765 | William L Pearman | Nurse Practitioner | Marshall Emergency Physicians, 2305 South Highway 65, Marshall, MO 65340 | 2018-05-03 |
| 1992204978 | Susan Elizabeth Lichtenberg | Speech-Language Pathologist | 860 W. Vest St., Marshall, MO 65340 | 2018-02-06 |
| 1568974616 | Falin Kay Larsen | Family Medicine | 2303 Us-65, Marshal, MO 65340 | 2017-10-30 |
| 1881132587 | Dana Zinn | Nurse Practitioner | 1547 Commerce Dr, Marshall, MO 65340 | 2017-02-02 |
| 1760877179 | Lifetime Dental Associates | Dentist | 2301 S. 65 Hwy, Suite 1, Marshall, MO 65340 | 2015-04-02 |
| 1780078949 | Glenda Cervantes | Interpreter | 1324 S Ellswort Ave, Marshall, MO 65340 | 2015-03-26 |
| 1174922173 | Michelle Stockman | Licensed Practical Nurse | 1004 S. Lincoln Ave, Marshall, MO 65340 | 2014-08-15 |
| 1730527722 | Lynn C Evans | Pharmacist | 941 S. Cherokee, Suite 1, Marshall, MO 65340 | 2013-06-12 |
| 1740589753 | Bethany Anne Harris | Social Worker | 1126 E. Hwy Ww, Marshall, MO 65340 | 2011-03-17 |
| 1235461658 | Angela Christine Martinez | Emergency Medicine | 17561 Highway B, Boonville, MO 65340 | 2010-02-10 |
| Find all providers in zip 65340 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649622499 | Health Webb LLC | Chiropractor | 1651 Wishwood Ct, Apt 2, Chesterfield, MO 63017-8527 | 2016-07-05 |
| 1154664266 | Aaron Cunningham Dc LLC | Chiropractor | 2415 Carter Ln Ste 103, Columbia, MO 65201-5898 | 2013-03-27 |
| 1003169657 | Robyn L. Lawrence Dc, PC | Chiropractor | 111 Church St., Suite 111, Ferguson, MO 63135 | 2012-10-19 |
| 1659622157 | Autumn Rebecca Barton | Chiropractor | 4600 S Lindbergh Blvd Ste 3, Saint Louis, MO 63127-1831 | 2012-09-24 |
| 1780998070 | Kelli Dawn Winarski | Chiropractor | 2024 Cherry Hill Dr, Ste 101, Columbia, MO 65203-5921 | 2010-07-29 |
| 1508179078 | David Andrew Winarski | Chiropractor | 2024 Cherry Hill Dr, Ste 101, Columbia, MO 65203-5921 | 2010-07-26 |
| 1750694519 | Family First Chiropractic and Wellness Center | Chiropractor | 2011 Corona Rd, Ste 103, Columbia, MO 65203-2548 | 2010-07-22 |
| 1659526713 | Hawk Ridge Chiropractic and Acupuncture, L.L.C. | Chiropractor | 266 Lamp and Lantern Vlg, Town and Country, MO 63017-8209 | 2008-11-17 |
| 1508905654 | Steven D Loehr | Chiropractor | 3021 E Sunshine St, Springfield, MO 65804-2052 | 2007-02-05 |
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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.