DR. CLIFFORD WILLIAM ROBERSON JR. (NPI# 1821046715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821046715 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD WILLIAM ROBERSON JR. |
| Other Name | DR. CLIFFORD W ROBERSON JR. |
| Credential | MD |
| Practice Address |
3009 Jackson Ave Point Pleasant WV 25550-1717 |
| Mailing Address |
3009 Jackson Ave Po Box 601 Point Pleasant WV 25550-1717 |
| Practice Telephone | 3046758095 |
| Practice Fax Number | 3046758096 |
| Mailing Telephone | 3046758095 |
| Mailing Fax Number | 3046758096 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2016-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
22760 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3910007237 | 05 | |
| OH | 0143290 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480467 | Clifford Fulton Roberson | Psychiatry & Neurology | 9000 Church St E, Building B Suite 100, Brentwood, TN 37027-5285 | 2006-01-04 |
| Street Address |
3009 JACKSON AVE |
| City | POINT PLEASANT |
| State | WV |
| Zip Code | 25550-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107058 | Samir M Shah Md Inc | General Practice | 3009 Jackson Ave, Point Pleasant, WV 25550-1717 | 2019-10-29 |
| 1659740066 | Clifford William Roberson Jr. | Clinic/Center | 3009 Jackson Ave, Point Pleasant, WV 25550-1717 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588277750 | Alexis Michelle Mckeever | Technician | 2nd Street 502 B, Point Pleasant, WV 25550 | 2020-08-28 |
| 1427513522 | Lori D. Arbogast | Registered Nurse | 1794 Letart Rd, Point Pleasant, WV 25550 | 2019-02-04 |
| 1386150902 | Michael Holland | Social Worker | 3471 Ohio River Road, Point Pleasant, WV 25550 | 2017-12-19 |
| 1013183144 | Mason County Emergency Ambulance Authority | Ambulance | 239 Jackson Avenue, Pt Pleasant, WV 25550 | 2008-05-08 |
| 1376761015 | William Richard Tibbetts | Specialist/Technologist | 2627 Mt Vernon Ave, Point Pleasant, WV 25550 | 2007-04-20 |
| 1730222076 | Pleasant Valley Home Medical Equipment | Durable Medical Equipment & Medical Supplies | 1011 Viand St., Point Pleasant, WV 25550 | 2007-02-15 |
| 1679633879 | Michael Joseph Calandros | Chiropractor | 2105 Jefferson Avenue, Point Pleasant, Point Pleasant, WV 25550 | 2006-12-11 |
| 1851469480 | James P Wagner | Family Medicine | 708 Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
| 1699843375 | Home Care Medical Equipment | Durable Medical Equipment & Medical Supplies | Third and Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
| 1962578690 | Riad A Hanna | Dentist | 703 22nd Street, Point Pleasant, WV 25550 | 2006-11-27 |
| Find all providers in zip 25550 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093341612 | Physician Associates Pllc | Orthopaedic Surgery | 1842 Harper Rd, Beckley, WV 25801-3366 | 2020-03-15 |
| 1942694914 | Louis Bivona | Orthopaedic Surgery | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2015-03-26 |
| 1811083694 | Sanford E Emery | Orthopaedic Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-05 |
| 1790871564 | John C France | Orthopaedic Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-05 |
| 1184688293 | Matthew P Walker | Orthopaedic Surgery | 415 Morris St, Suite 400, Charleston, WV 25301-1842 | 2006-04-14 |
| City | POINT PLEASANT |
| Zip Code | 25550 |
Please comment or provide details below to improve the information on DR. CLIFFORD WILLIAM ROBERSON JR..
| 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.