MR. TIMOTHY MALCOM ROBERTSON


Address: 184 Blacklog Road, Fort Gay, WV 25514
Phone: 3042726671

MR. TIMOTHY MALCOM ROBERTSON (NPI# 1790290047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790290047
Entity Type Individual
Full Name MR. TIMOTHY MALCOM ROBERTSON
Credential PCA
Practice Address 184 Blacklog Road
Fort Gay
WV 25514
Practice Telephone 3042726671
Mailing Telephone 3043564562
Mailing Fax Number 3045584563
Enumeration Date 2017-12-08
Last Update Date 2017-12-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
PROVIDER ID 3810027474 01

Other Providers TIMOTHY ROBERTSON

NPI Name Taxonomy Address Enumeration
1538415583 Timothy Wayne Robertson Jr. Physician Assistant 4427 N Vineyard Meadow Ln, Katy, TX 77449-3445 2012-07-27
1255365300 Timothy Wayne Robertson Optometrist 400 Solano St, Corning, CA 96021-3433 2006-07-11
1720067432 Timothy Scot Robertson Emergency Medicine 26 Spring Basket Trl, The Woodlands, TX 77389 2006-01-11
1154328151 Timothy Walter Robertson Pharmacist 10150 Brook Rd, Glen Allen, VA 23059-6514 2005-07-05
1750809067 Timothy Dalton Robertson Student in an Organized Health Care Education/Training Program 718 Magnolia Dr, Tuscaloosa, AL 35487-0001 2017-09-07
1407282932 Timothy Ross Robertson Counselor 3940 E 56th St, Indianapolis, IN 46220-5963 2013-09-16
1346440120 Timothy Luke Robertson Speech-Language Pathologist 600 N. Main, Leeton, MO 64761 2007-07-20
1356375034 Timothy L Robertson Nurse Practitioner 1400 Coulter, Amarillo, TX 79106 2006-07-10
1144270299 Timothy John Robertson Psychiatry & Neurology 1400 Bellinger St, Eau Claire, WI 54703-5222 2006-05-11

Office Location

Street Address 184 BLACKLOG ROAD
City FORT GAY
State WV
Zip Code 25514

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508353236 Rebecca Jean Robertson Technician 184 Blacklog Road, Fort Gay, WV 25514 2018-04-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295336816 Sherry Lynn Marcum Technician Meeting House Branch Road, Fort Gay, WV 25514 2020-11-02
1558960377 Anna Lynn Garn Technician 8702 Vancouver Street, Fort Gay, WV 25514 2020-10-22
1790382521 Shasta Rachelle Sisk Technician 609 Spruce Creek Road, Fort Gay, WV 25514 2020-10-05
1992310536 Karen Jean Minney Technician 687 Webb Branch Road, Fort Gay, WV 25514 2020-09-10
1679188429 Polly Edna Robertson Technician 297 Orchard Street, Fort Gay, WV 25514 2020-09-09
1659984821 Jennifer Dolly Marcum Technician 435 Big Sandy Road, Fort Gay, WV 25514 2020-08-27
1952914442 Stephanie Thompson Technician 22786 Rte. 52, Fort Gay, WV 25514 2020-08-25
1053924548 Marina Gail Jude Technician 112 James Ferguson Cemetery Roadd, Fort Gay, WV 25514 2020-08-25
1093220345 Loretta Robertson Technician 302 Blacklog Rd, Fort Gay, WV 25514 2017-12-08
1346755691 Alena Rae Wallace Technician 243 Blacklog Road, Fort Gay, WV 25514 2017-12-08
Find all providers in zip 25514

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295336816 Sherry Lynn Marcum Technician Meeting House Branch Road, Fort Gay, WV 25514 2020-11-02
1265032460 Amber Richeal Webb Technician 260 Lower Right Fork Rd, Fort Gay, WV 25514-8087 2020-10-27
1558960377 Anna Lynn Garn Technician 8702 Vancouver Street, Fort Gay, WV 25514 2020-10-22
1932708997 Michelle Leigh Williams Technician 115 Ezekiel Ln, Fort Gay, WV 25514-7061 2020-10-21
1760089403 Tammy Paulson Technician 125 Hayes Dr, Fort Gay, WV 25514-7416 2020-10-06
1790382521 Shasta Rachelle Sisk Technician 609 Spruce Creek Road, Fort Gay, WV 25514 2020-10-05
1043825433 Sylva Ladawn Blackburn Technician 274 Laura Fork Rd, Fort Gay, WV 25514-8020 2020-09-11
1992310536 Karen Jean Minney Technician 687 Webb Branch Road, Fort Gay, WV 25514 2020-09-10
1619582475 Rhonda Sue Thompson Technician 160 Laurel Fork, Fort Gay, WV 25517 2020-09-09
1891300711 Laura Lea Williams Technician 30 Poplar Lick Rd, Fort Gay, WV 25514-8050 2020-09-09
Find all providers in FORT GAY

Competitor

Search similar providers

City FORT GAY
Zip Code 25514

Improve Information

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Dataset Information

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.

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