KAY ALEXA ROBERTSON (NPI# 1649262080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649262080 |
| Entity Type | Individual |
| Full Name | KAY ALEXA ROBERTSON |
| Credential | MD |
| Practice Address |
44200 Woodward Ave Suite 205 Pontiac MI 48341-5045 |
| Practice Telephone | 2488589400 |
| Practice Fax Number | 2488589493 |
| Mailing Telephone | 2488589400 |
| Mailing Fax Number | 2488589493 |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2011-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 4301068781 | MI | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 4301068781 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FEDRAL DEA | BR7712296 | 01 | |
| MI | CONTROLLED SUBSTANCE | 5315008648 | 01 |
| EDFMG | 05165444 | 01 |
| Street Address |
44200 WOODWARD AVE SUITE 205 |
| City | PONTIAC |
| State | MI |
| Zip Code | 48341-5045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487195566 | Verna Renee Dubord | Registered Nurse | 44200 Woodward Ave, Suite 209, Pontiac, MI 48341-5045 | 2017-03-09 |
| 1366809519 | Pampered Child | In Home Supportive Care | 44200 Woodward Ave, Ste 205, Pontiac, MI 48341-5045 | 2016-01-19 |
| 1093184111 | Ashley Maxwell | Physical Therapist | 44200 Woodward Ave, Suite 11, Pontiac, MI 48341-5045 | 2015-09-18 |
| 1841566866 | Erin Mcevilly Grindling | Audiologist | 44200 Woodward Ave, Pontiac, MI 48341-5045 | 2012-03-23 |
| 1346537289 | Roy J Pullukat | Pediatrics | 44200 Woodward Ave, Suite 103, Pontiac, MI 48341-5045 | 2011-06-29 |
| 1528294824 | Obstetrics and Gynecology Center of Michigan, Pllc | Obstetrics & Gynecology | 44200 Woodward Ave, Suite 101, Pontiac, MI 48341-5045 | 2009-06-02 |
| 1043460512 | Michael Scott Hayes | Audiologist | 44200 Woodward Ave, Suite 200, Pontiac, MI 48341-5045 | 2008-09-22 |
| 1699934554 | Michigan Infectious Disease Consultants PC | Internal Medicine | 44200 Woodward Ave, Suite 101, Pontiac, MI 48341-5046 | 2008-06-05 |
| 1427234863 | Bloomfield Pharmacy North PC | Pharmacy | 44200 Woodward Ave, Ste 107, Pontiac, MI 48341-5045 | 2008-01-16 |
| 1154460830 | Kay Robertson Md PC | Pediatrics | 44200 Woodward Ave, Suite 205, Pontiac, MI 48341-5045 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415837 | Brittany Taylor Shandor | Registered Nurse | 32 East, 1200 Telegraph Rd, Pontiac, MI 48341 | 2020-10-22 |
| 1013534999 | Siddharth Chopra | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue Saint Joseph Mercy Oakland Hospit, Medical Education H-23, Pontiac, MI 48341 | 2020-06-26 |
| 1972120962 | Tara Elizabeth Bjorklund | Obstetrics & Gynecology | 44405 Woodward Ave - H23, St. Joseph Mercy Oakland - Gme Office, Pontiac, MI 48341 | 2020-06-25 |
| 1245856145 | Sarah Fatima | Student in an Organized Health Care Education/Training Program | St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-17 |
| 1407471188 | Tyler Schaefer | Emergency Medical Technician, Basic | 32east 1200 N. Telegraph Rd., Pontiac, MI 48341 | 2020-06-09 |
| 1639793581 | Yash Kirankumar Varma | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, Medical Education H-23, Pontiac, MI 48341 | 2020-06-05 |
| 1326661687 | Fnu Kavita | Student in an Organized Health Care Education/Training Program | C/o Shelly Casey, St. Joseph Mercy Oakland Hospital, 44405 Woodward Avenue Medical Education - H23, Pontiac, MI 48341 | 2020-05-21 |
| 1801452578 | Lolita Curry | Registered Nurse | 32 East 1200 Telegraph, Pontiac, MI 48341 | 2019-05-17 |
| 1619530060 | Priyadarshini Dixit | Student in an Organized Health Care Education/Training Program | 44405 Woodward Avenue, St. Joseph Mercy Oakland Hospita, Pontiac, MI 48341 | 2019-04-20 |
| 1891358370 | Anil Gurpersaud | Student in an Organized Health Care Education/Training Program | 44405 Woodward Ave., St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2019-04-19 |
| Find all providers in zip 48341 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1346702719 | Jasmeet Ricky Garcha | Internal Medicine | 44405 Woodward Ave Dept Of, Pontiac, MI 48341-5023 | 2019-04-03 |
| 1861995813 | Ahmed Alqaysi | Internal Medicine | 44405 Woodward Ave # H23, Pontiac, MI 48341-5023 | 2018-03-16 |
| 1144757949 | Israa Oday Ghanim Al-gburi | Internal Medicine | 44405 Woodward Ave, H-23, St. Joseph Mercy Oakland, Pontiac, MI 48341 | 2017-05-11 |
| 1558744920 | Aneeqa Dar | Internal Medicine | 830 Golf Dr, Appt 202, Pontiac, MI 48341-2380 | 2015-07-02 |
| 1689056434 | Kedareeshwar Sanjay Arukala | Internal Medicine | 44405 Woodward Ave # H-23, Pontiac, MI 48341-5023 | 2015-06-28 |
| 1376885087 | Orthopedic PC | Internal Medicine | 35 S Johnson St Ste 3f, Pontiac, MI 48341-1662 | 2013-03-20 |
| 1578869707 | Andrew Henry Tilden | Internal Medicine | 700 W Lincoln St, Pontiac, IL 61764-2323 | 2011-02-05 |
| 1598788176 | Lawrence J Cowsill | Internal Medicine | 950 University Dr, Pontiac, MI 48342-1865 | 2006-07-25 |
| 1760443600 | Robert Melvin Phillips Jr. | Internal Medicine | 35 South Johnson Street, Suite 1b, Pontiac, MI 48341 | 2006-03-30 |
| 1578561015 | Angela M Porter | Internal Medicine | 46156 Woodward Ave, Suite B, Pontiac, MI 48342-5033 | 2005-07-08 |
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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.