DR. JERE CALVIN ROBERTSON SR. (NPI# 1831465822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831465822 |
| Entity Type | Individual |
| Full Name | DR. JERE CALVIN ROBERTSON SR. |
| Credential | M.D. |
| Practice Address |
608 Deepwood Dr Hopkinsville KY 42240-1226 |
| Practice Telephone | 2708867352 |
| Mailing Telephone | 2708867352 |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
13182 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
608 DEEPWOOD DR |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043638620 | Adair County Hospital District | Obstetrics & Gynecology | 902 Westlake Dr Ste 107, Columbia, KY 42728-1149 | 2014-04-01 |
| 1326354549 | William Florent Brassine | Obstetrics & Gynecology | 625 Eldorado Drive, Elizabethtown, KY 42701 | 2010-08-25 |
| 1700071560 | Mark J. Yurchisin | Obstetrics & Gynecology | 720 2nd Ave Ste 202, Bowling Green, KY 42101-1778 | 2007-09-13 |
| 1831247345 | Southern Women's Care Obstetrics & Gynecology, Pllc | Obstetrics & Gynecology | 67 Kingswood Dr Ste A, Campbellsville, KY 42718-9647 | 2007-01-08 |
| 1831268572 | Dennis R. Faulkner | Obstetrics & Gynecology | 347 Bogle St Ste A, Somerset, KY 42503-2873 | 2006-11-07 |
| 1851480008 | Bernard L Hayden | Obstetrics & Gynecology | 3929 Old Us Hwy 45 South, Paducah, KY 42003 | 2006-10-12 |
| 1124119946 | William Francis Sweeney | Obstetrics & Gynecology | 311 A Radio Park Dr, Richmond, KY 40475 | 2006-09-27 |
| 1902906092 | George M Kudmani | Obstetrics & Gynecology | 9822 3rd Street Rd, Suite 306, Louisville, KY 40272-2847 | 2006-09-25 |
| 1578663043 | Dennis Gerald Shoff | Obstetrics & Gynecology | 1310 Woodland Drive, Elizabethtown, KY 42701 | 2006-09-25 |
| 1659485357 | Jerald M Ford | Obstetrics & Gynecology | 2245 Winchester Ave Ste 1, Suite 150, Ashland, KY 41101-7848 | 2006-08-18 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.