ZACHARY TAYLOR ROBERTSON (NPI# 1609375807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609375807 |
| Entity Type | Individual |
| Full Name | ZACHARY TAYLOR ROBERTSON |
| Practice Address |
2528 Bridgewater Dr Gainesville GA 30506-1881 |
| Practice Telephone | 6787647009 |
| Mailing Telephone | 6787647009 |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811382617 | Zachary Robertson | Student in an Organized Health Care Education/Training Program | 532 Northland Dr, Marquette, MI 49855-4425 | 2015-03-30 |
| 1801431523 | Zachary Robertson | Counselor | 76 Winter St, Haverhill, MA 01830-5760 | 2019-11-18 |
| 1215191168 | Zachary Martin Robertson | Ophthalmology | 5323 Harry Hines Blvd, Dallas, TX 75390-4505 | 2008-07-10 |
| 1588625701 | Zachary Robertson | Physician Assistant | 1875 N Highway 66, D, Catoosa, OK 74015-1829 | 2006-03-29 |
| Street Address |
2528 BRIDGEWATER DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30506-1881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325599 | Ride With Us Medical Transport LLC | Non-emergency Medical Transport (VAN) | 3877 C. Rogers Rd, Gainesville, GA 30506 | 2019-06-20 |
| 1437678950 | Thomas William Stewart Jr. | Pathology | 3138 Marthasville Court, Gainesville, GA 30506 | 2017-09-15 |
| 1629353461 | Finding Faith Inc | Physical Therapist | 7985 Knight Road, Suite B, Gainesville, GA 30506 | 2011-10-12 |
| 1992961296 | Georgia Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 3709 Thompson Bridge Rd., Gainesville, GA 30506 | 2008-08-06 |
| 1477754067 | Black's Pediatric Therapy, Inc. | Occupational Therapist | 4502 Summer Gate Ct., Gainesville, GA 30506 | 2007-05-30 |
| 1962535377 | Kim Kerrick | Physical Therapist | Lanier Village Estates, Misty Morning Way, Gainesville, GA 30506 | 2007-03-14 |
| 1942339098 | Lorie Miller Stevens | Dentist | 5129 Cleveland Hwy, Gainesville, GA 30506 | 2007-03-05 |
| 1972544963 | Christie L Woodruff | Nurse Practitioner | 4371 Clarks Bridge Road, Gainesville, GA 30506 | 2006-06-09 |
| 1336113919 | Alison K Zavodny | Internal Medicine | 4875 Perry Rd, Gainesville, GA 30506 | 2006-02-13 |
| 1497739429 | Anga-lee Morgan Tipton | Nurse Practitioner | 4000 Village View Drive, Gainesville, GA 30506 | 2005-12-02 |
| Find all providers in zip 30506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30506 |
Please comment or provide details below to improve the information on ZACHARY TAYLOR ROBERTSON.
| 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.