JEFFREY DAVID ROBERTSON (NPI# 1366709404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366709404 |
| Entity Type | Individual |
| Full Name | JEFFREY DAVID ROBERTSON |
| Credential | M.D. |
| Practice Address |
409 N University Ave Little Rock AR 72205-3108 |
| Practice Telephone | 5016646980 |
| Practice Fax Number | 5016644738 |
| Mailing Telephone | 5016646980 |
| Mailing Fax Number | 5016644738 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
E-9288 | AR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 208307795 | 05 | |
| AR | STATE MEDICAL LICENSE | E-9288 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491900 | 2059349666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114102118 | Jeffrey Alan Robertson | General Practice | 1800 9th Ave # 1606, Seattle, WA 98101-1358 | 2008-01-08 |
| 1174721161 | Jeffrey C Robertson | Dentist | 4940 Irvine Blvd Ste 101, Irvine, CA 92620-1960 | 2007-07-11 |
| 1932300035 | Jeffrey James Robertson | Dentist | 6219 Vogel Rd Ste 103a, Evansville, IN 47715-4058 | 2007-05-29 |
| 1841386570 | Jeffrey Brent Robertson | Ophthalmology | 1114 N Bishop Ave, Dallas, TX 75208-4113 | 2006-10-04 |
| 1578513438 | Jeffrey R Robertson | Social Worker | 6840 Prairie Run Ave, Portage, IN 46368-2665 | 2006-05-11 |
| 1235117607 | Jeffrey Scott Robertson | Otolaryngology | 2001 Providence Park, Birmingham, AL 35242-4680 | 2006-01-05 |
| 1720073869 | Jeffrey Robertson | Optometrist | 115 Coliseum Xing Spc 58, Hampton, VA 23666-5971 | 2005-09-14 |
| 1578916706 | Jeffrey Robertson | Pharmacist | 12 High St, Lewiston, ME 04240-7676 | 2016-07-23 |
| 1861841389 | Jeffrey Robertson | Internal Medicine | 5301 E Grant Rd, Tucson, AZ 85712-2805 | 2016-06-06 |
| 1568723054 | Jeffrey Robertson | Pharmacist | 750 Hilldale Way, Madison, WI 53705-2644 | 2012-05-31 |
| Street Address |
409 N UNIVERSITY AVE |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-3108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395792 | Gastroenterology Associates Pa | Specialist | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-06-09 |
| 1831722271 | Matthew T Taylor | Nurse Practitioner | 409 N University Ave, Little Rock, AR 72205-3108 | 2020-02-13 |
| 1508400425 | Texas Digestive Disease Consultants Pllc | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2019-11-04 |
| 1174962583 | Laboratory Corporation of America | Clinical Medical Laboratory | 409 N University Ave, Little Rock, AR 72205-3108 | 2013-06-19 |
| 1245587203 | David Backstedt | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2012-08-09 |
| 1124252960 | Bobby Rupjyoti Kakati | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2009-05-07 |
| 1780894717 | Jaymie H. Pennington | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2007-05-22 |
| 1760508410 | Arkansas Psychiatry and Behavioral Health | Specialist | 409 N University Ave, Little Rock, AR 72205-3108 | 2007-03-22 |
| 1770566796 | Jeremy C Davis | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-11-23 |
| 1992709836 | Debra F Morrison | Internal Medicine | 409 N University Ave, Little Rock, AR 72205-3108 | 2005-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073079596 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 Rodney Parham Rd, Suite A, Little Rock, AR 72212-7221 | 2019-02-20 |
| 1508357120 | Stephan Dehmel | Internal Medicine | 4301 W Markham St Ste 567, Little Rock, AR 72205-7101 | 2018-05-21 |
| 1366933855 | Your Bariatric Care Clinic Ea | Internal Medicine | 1 Saint Vincent Cir Ste 320, Little Rock, AR 72205-5408 | 2018-05-21 |
| 1538663729 | Premier Gastroenterology Associates Pllc | Internal Medicine | 10915 N. Rodney Parham, Suite B, Little Rock, AR 72212 | 2018-03-21 |
| 1376987693 | Robert Carlton Power | Internal Medicine | 8 Bella View Drive, Little Rock, AR 72212 | 2013-04-18 |
| 1265675466 | Drs Budhraja, Pa | Internal Medicine | 11321 Interstate 30 Ste 200, Little Rock, AR 72209-7066 | 2009-04-17 |
| 1376706978 | Mary Katherine Rude | Internal Medicine | 4301 West Markham, Mail Slot 567, Shorey Building, Room S8/68, Little Rock, AR 72205 | 2008-07-03 |
| 1730280165 | Daniel Kristan Brown | Internal Medicine | 417 N. University, Little Rock, AR 72205 | 2006-09-26 |
| 1225049059 | William Jack Morton | Internal Medicine | 4300 W 7th St # 111h, Little Rock, AR 72205-5446 | 2006-08-10 |
| 1487682613 | Paul E Williams | Internal Medicine | 9601 Baptist Health Dr Ste 970a, Little Rock, AR 72205-6321 | 2006-06-28 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.