DR. DEBRA ANN ROBERTSON (NPI# 1568549699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568549699 |
Entity Type | Individual |
Full Name | DR. DEBRA ANN ROBERTSON |
Credential | MD |
Practice Address |
2210 Barron Rd 120 Poplar Bluff MO 63901-1908 |
Practice Telephone | 5737852005 |
Practice Fax Number | 5737859444 |
Mailing Telephone | 5737852005 |
Mailing Fax Number | 5737859444 |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-07-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208000000X | Pediatrics | MD105000 | MO | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | MD105000 | MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 206912206 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306336888 | Debra Ann Robertson | Psychologist | 7707 Austin Rd, Stockton, CA 95215-8312 | 2018-05-10 |
1033360896 | Debra L Robertson | Physical Therapist | 2125 Elizabeth Ave, Laureldale, PA 19605-2259 | 2008-10-09 |
1578695532 | Debra L. Robertson | Counselor | 2330 Ne Siskiyou St, Portland, OR 97212-2471 | 2007-03-12 |
Street Address |
2210 BARRON RD 120 |
City | POPLAR BLUFF |
State | MO |
Zip Code | 63901-1908 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750370748 | James William Gieselmann | Surgery | 2210 Barron Rd, Suite 122, Poplar Bluff, MO 63901-1908 | 2005-10-21 |
1952866139 | Saint Francis Medical Center | Psychologist | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2019-02-01 |
1457881963 | Poplar Bluff Pediatric Assoc Ll | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2017-06-16 |
1861944415 | Amber Rene Maples | Nurse Practitioner | 2210 Barron Rd, 120, Poplar Bluff, MO 63901-1908 | 2016-10-31 |
1902279110 | Gibbs Wound Care LLC | Nurse Practitioner | 2210 Barron Rd, Room 205, Poplar Bluff, MO 63901-1908 | 2015-11-10 |
1548699077 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2013-11-05 |
1588900344 | Key Drugs At Northwest LLC | Pharmacy | 2210 Barron Rd, Poplar Bluff, MO 63901-1908 | 2012-12-26 |
1780961227 | Stephane Rena Bond | Nurse Practitioner | 2210 Barron Rd, Suite 222, Poplar Bluff, MO 63901-1908 | 2011-11-11 |
1154650331 | Poplar Bluff Neurology Center, PC | Clinic/Center | 2210 Barron Rd, Suite 112, Poplar Bluff, MO 63901-1908 | 2009-12-16 |
1275729550 | University Hematology Oncology Group Inc. | Internal Medicine | 2210 Barron Rd, Suite 117, Poplar Bluff, MO 63901-1908 | 2007-09-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
1780195966 | Midwest Equipment Srv Systems LLC | Technician, Pathology | 2400 Lucy Lee Parkway, Suite C, Poplar Bluff, MO 63901 | 2017-10-16 |
1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
Find all providers in zip 63901 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275676355 | Poplar Bluff Pediatric Assoc Ll | General Practice | 2210 Barron Rd, Suite 120, Poplar Bluff, MO 63901-1908 | 2007-02-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
Find all providers with the same taxonomy |
City | POPLAR BLUFF |
Zip Code | 63901 |
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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.