MR. PAUL ALEXANDER ROBERTSON (NPI# 1639175938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639175938 |
| Entity Type | Individual |
| Full Name | MR. PAUL ALEXANDER ROBERTSON |
| Credential | MD |
| Practice Address |
4525 3rd Ave Se Ste 200 Lacey WA 98503-1010 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 3607543934 |
| Practice Fax Number | 3609438023 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD00026285 | WA | Other Service Providers |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD00026285 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1150028 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346687696 | Paul Andrew Robertson | Family Medicine | 825 Meadowsong Cir, Lawrenceville, GA 30043-4236 | 2013-05-28 |
| 1396934485 | Paul E. Robertson | Optometrist | 1302 Longview St, Mayfield, KY 42066-3137 | 2007-10-15 |
| 1306838875 | Paul B Robertson | Nurse Anesthetist, Certified Registered | 6511 Springbook Ave, Rhinebeck, NY 12572 | 2005-08-19 |
| 1326406398 | Paul Douglas Robertson | Counselor | 548 Se Jackson St, Roseburg, OR 97470-2709 | 2016-02-05 |
| 1770718298 | Paul Robertson | Dietitian, Registered | 350 West Woodrow Wilson Avenue, Ambulatory Services - Outpatient Dietitian, Jackson, MS 39213 | 2009-05-28 |
| 1083849715 | Paul Lamont Robertson | Dentist | 126 N 10th St, Fort Dodge, IA 50501-3915 | 2009-05-26 |
| 1467462440 | Paul A. Robertson | Nurse Anesthetist, Certified Registered | 1441 N 12th St, Phoenix, AZ 85006-2837 | 2006-08-09 |
| Street Address |
4525 3RD AVE SE STE 200 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808506 | Mandie Michelle Brown | Registered Nurse | 4525 3rd Ave Se, Lacey, WA 98503-1010 | 2020-10-15 |
| 1841593530 | Cherie Renee Hankal | Massage Therapist | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2010-12-17 |
| 1033370705 | Robyn B. Vera | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2008-06-24 |
| 1194906016 | Cynthia Barbara Aller | Internal Medicine | 4525 3rd Ave Se, Ste 200, Lacey, WA 98503-1010 | 2007-11-20 |
| 1013100262 | Providence Health & Service - Washington | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2007-08-21 |
| 1831312289 | Fen Jiang | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503 | 2007-04-11 |
| 1962513580 | Hui Wang | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503 | 2006-08-31 |
| 1740299239 | Ronald P Smith | Specialist | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2006-08-05 |
| 1699718007 | Arthur Molina IIi | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2006-06-14 |
| 1508817404 | Gregory W Allen | Radiology | 4525 3rd Ave Se, Suite 100, Lacey, WA 98503-1010 | 2006-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689846198 | Bojia Li | Internal Medicine | 4525 3rd Ave Se Ste 200, Lacey, WA 98503-1010 | 2008-03-25 |
| 1194906016 | Cynthia Barbara Aller | Internal Medicine | 4525 3rd Ave Se, Ste 200, Lacey, WA 98503-1010 | 2007-11-20 |
| 1821112293 | Daniel Madison Byrd | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2007-03-19 |
| 1013095660 | Monique C. Semien | Internal Medicine | 4525 3rd Ave Se Ste 200, Pmg Sw Wa Prcs Lacey Clinic, Lacey, WA 98503-1010 | 2006-11-01 |
| 1962513580 | Hui Wang | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503 | 2006-08-31 |
| 1699718007 | Arthur Molina IIi | Internal Medicine | 4525 3rd Ave Se, Suite 200, Lacey, WA 98503-1010 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477150969 | John Michael Pesando | Internal Medicine | 1066 East Blaine Street, Seattle, WA 98102-4260 | 2020-10-07 |
| 1265944003 | Langdon Leforrest Miller | Internal Medicine | 3057 Perkins Ln W, Seattle, WA 98199-2418 | 2017-11-02 |
| 1306214168 | Alvaro Perona Blazquez | Internal Medicine | 5049 38th Ave Ne, Seattle, WA 98105-3022 | 2015-09-10 |
| 1013318245 | Vivien R V B Santos | Internal Medicine | 5049 38th Avenue Ne, Seattle, WA 98105 | 2014-09-08 |
| 1154663581 | Victor Alexander Chow | Internal Medicine | 1100 Fairview Ave N # D5-390, Seattle, WA 98109-4433 | 2013-03-24 |
| 1508150111 | Robert Eugene Burdick | Internal Medicine | 2201 39th Ave E, Seattle, WA 98112-2401 | 2011-06-01 |
| 1962701110 | Toni Kay Roberts | Internal Medicine | 2720 Clare Ave Ste A, Bremerton, WA 98310-3374 | 2011-03-26 |
| 1124334792 | Wayne Russell Godfrey | Internal Medicine | 410 W Harrison St, Suite 100, Seattle, WA 98119-4033 | 2010-08-20 |
| 1407173826 | Joshua Robert Veatch | Internal Medicine | 1100 Fairview Ave N # D5-100, Seattle, WA 98109-4433 | 2010-04-24 |
| 1346562816 | Song Zhao | Internal Medicine | 515 Minor Ave Fl 1, Seattle, WA 98104-2120 | 2010-02-24 |
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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.