DR. DONALD JACK ROBERTSON (NPI# 1447307871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447307871 |
| Entity Type | Individual |
| Full Name | DR. DONALD JACK ROBERTSON |
| Credential | M.D. |
| Practice Address |
3502 9th St Ste 260 Lubbock TX 79415-3300 |
| Mailing Address |
5219 City Bank Pkwy Suite 135 Lubbock TX 79407-3544 |
| Practice Telephone | 8067928185 |
| Practice Fax Number | 8067929180 |
| Mailing Telephone | 8067610334 |
| Mailing Fax Number | 8067820097 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2017-02-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | F7107 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 000W0459 | 05 | |
| FIRST CARE | 122634100 | 01 | |
| CHAMPUS | A004 | 01 | |
| TX | 131796806 | 05 | |
| RAIL ROAD MEDICARE | 780000444 | 01 | |
| WORK COMP. | MDF7107 | 01 | |
| BLUE CROSS BLUE SHIELD | 863277 | 01 | |
| CIDC | 131796804 | 01 | |
| NM | NM BLUE CROSS BLUE SHIELD | Y741 | 01 |
| BLACK LUNG | 299751 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912238320 | Donald Urey Robertson | Psychologist | Center for Applied Psychology 1020 Oakland, 238a Uhler Hall, Indiana, PA 15705-1064 | 2010-01-25 |
| 1174720379 | Donald Otis Robertson | Counselor | 1744 S Pacific St Apt 101, Oceanside, CA 92054-5841 | 2007-06-29 |
| 1538297593 | Donald Charles Robertson | Internal Medicine | 1771 Curtis Dr, #200, Iuka, MS 38852-1001 | 2007-03-01 |
| 1679667299 | Donald P Robertson | Family Medicine | 2841 Avenue G., Suite 100, White City, OR 97503-3030 | 2006-10-03 |
| 1598006744 | Donald James Robertson | Respiratory Therapist, Certified | 3701 Loop Rd, Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404-5015 | 2013-03-13 |
| 1891996831 | Donald Bruce Robertson | Dentist | 6520 N 7th Ave, Suite #5, Phoenix, AZ 85013-1158 | 2007-05-29 |
| 1578528683 | Donald Wayne Robertson | Family Medicine | 2828 S Mccall Rd, Ste 21, Englewood, FL 34224-7791 | 2006-04-20 |
| Street Address |
3502 9TH ST STE 260 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79415-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023000197 | Ronald L. Cook | Family Medicine | 3502 9th St, Suite 1c143, Lubbock, TX 79430-8143 | 2005-08-16 |
| 1700323045 | Courtney Michelle Arnold | Audiologist | 3502 9th St, Ste. 410, Lubbock, TX 79415-3300 | 2017-01-25 |
| 1497185458 | Kourtney Dunlap | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2013-11-12 |
| 1104163807 | Laura Durrett | Nurse Practitioner | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2013-01-15 |
| 1194060301 | Ashley Rochelle Hunter | Physician Assistant | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2012-11-29 |
| 1003150186 | Kevin Cole | Nurse Practitioner | 3502 9th St, Suite 430, Lubbock, TX 79415-3300 | 2012-11-15 |
| 1912255811 | Julie Owen | Physician Assistant | 3502 9th St, Suite 170, Lubbock, TX 79415-3300 | 2012-08-27 |
| 1699075960 | Autumn Beasley | Nurse Practitioner | 3502 9th St, Suite 360, Lubbock, TX 79415-3300 | 2010-11-02 |
| 1932439858 | Kashif Saleem | Family Medicine | 3502 9th St, Suite 110, Lubbock, TX 79415-3300 | 2009-12-29 |
| 1235465741 | Patricia R. Arledge, Md, Pllc | Plastic Surgery | 3502 9th St, Suite 270, Lubbock, TX 79415-3300 | 2009-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1922447457 | Fnu Parijat Kumar | Physical Therapist | 2717 3rd Street, Aptt 803, Lubbock, TX 79415 | 2013-06-18 |
| 1851575906 | Diego Rivera, M.d., P.a. | Family Medicine | 111 University Ave, Lubbock, TX 79415 | 2007-12-26 |
| 1730206632 | Kathleen Brinkman Felts | Physical Therapist | 3710 4th Street, Lubbock, TX 79415 | 2007-03-23 |
| 1568508521 | Horace Rueben Sharp Jr. | Optometrist | 1911 4th St, Lubbock, TX 79415 | 2007-01-29 |
| 1699876201 | Patricia R. Arledge | Plastic Surgery | 3502 9th St., Suite 270, Lubbock, TX 79415 | 2006-09-26 |
| 1245330018 | Perlita Molina Sambrano-tandoc | Nurse Practitioner | 602 East Indiana Avenue, Lubbock, TX 79415 | 2006-09-22 |
| 1639199862 | Justin Tidwell | Emergency Medicine | 604 Indiana, Lubbock, TX 79415 | 2006-07-20 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1497709265 | Byron Wayne Schoettle | Radiology | 602 Indiana Avenue, Lubbock, TX 79415 | 2006-05-19 |
| Find all providers in zip 79415 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780796714 | William Eugene Springer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3506 21st St Ste 602, Lubbock, TX 79410-1234 | 2006-08-31 |
| 1396892774 | Ralph Francis Paone | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3502 9th St, Suite 260, Lubbock, TX 79415-3300 | 2007-01-05 |
| 1508913948 | Southwestern Cardiovascular Surgical Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4408 6th St, Lubbock, TX 79416-4732 | 2007-01-05 |
| 1720097520 | Dennis Patrick Eastman | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3606 21st St, Suite 103, Lubbock, TX 79410-1226 | 2006-08-08 |
| 1922063718 | Donald Lee Bricker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3514 21st Street, Lubbock, TX 79410 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915894 | Branislav Stojkovic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6431 Fannin St Ste Jjl S-86, Houston, TX 77030-1501 | 2020-09-08 |
| 1093349946 | Lawrence R Hamner IIi Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 Jimmy Johnson Blvd Ste 207, Port Arthur, TX 77640-2011 | 2020-03-01 |
| 1275173379 | Houston Cardiothoracic and Vein Surgeons, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1310 St Joseph Pkwy Ste 1005, Houston, TX 77002-8205 | 2020-01-07 |
| 1861962003 | Brownsville Surgery, Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 E Alton Gloor Blvd Bldg B, Brownsville, TX 78526-3328 | 2018-11-30 |
| 1326523077 | Southeast Texas Cardiac LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 8901 Fm 1960 Bypass Rd W Ste 303, Humble, TX 77338-4019 | 2018-09-28 |
| 1982119061 | Elite Heart, Lung, and Vein Surgeons | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2406 Ellis Park Ln, Conroe, TX 77304-2938 | 2017-12-11 |
| 1376076869 | Kitten Cardiovascular Associates Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 118 Shenandoah Drive, Suite A, Shenandoah, TX 77381-1203 | 2017-04-11 |
| 1003360116 | William E Wallace Do | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 6007 Hillbrook Dr, Colleyville, TX 76034-5323 | 2016-08-05 |
| 1104284959 | Lm Duvall Enterprises | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 41922 N Mill Dr, Magnolia, TX 77354-1850 | 2016-02-08 |
| 1457734618 | John Kirchmer Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2195 Thomas Rd, Beaumont, TX 77706-2837 | 2015-07-07 |
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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.