DR. JOHN DOUGLAS ROBERTSON (NPI# 1841250156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841250156 |
| Entity Type | Individual |
| Full Name | DR. JOHN DOUGLAS ROBERTSON |
| Credential | M.D. |
| Practice Address |
6727 Taylor Court Montgomery AL 36117-7708 |
| Practice Telephone | 3342842800 |
| Practice Fax Number | 3342840438 |
| Mailing Telephone | 3342842800 |
| Mailing Fax Number | 3342840438 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2011-12-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 24023 | AL | Other Service Providers |
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
24023 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS PROVIDER # | 15857 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 051515857 | 01 |
| AL | 051553528 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952763088 | John Robertson | Physical Therapist | 2901 Squalicum Way, Bellingham, WA 98225 | 2016-03-28 |
| 1902196181 | John Robertson | Pharmacist | 111 E Saginaw St, East Lansing, MI 48823-2737 | 2011-04-09 |
| 1447401492 | John Robertson Jr. | Family Medicine | 1050 Kings Hwy N Ste 105, Cherry Hill, NJ 08034 | 2008-10-08 |
| 1386797223 | John Hibbard Robertson | Dentist | 825 Eden Rd, Lancaster, PA 17601-4713 | 2007-01-22 |
| 1437217239 | John Keith Robertson | Dentist | 200 Washington St Se, Blacksburg, VA 24060-4838 | 2006-12-05 |
| 1770511578 | John Warren Robertson IIi | Surgery | 1940 E Walnut Lane, Philadelphia, PA 19138 | 2006-06-29 |
| 1821059478 | John A. Robertson | Family Medicine | 700 24th Ave, Nw, Oklahoma City, OK 73069 | 2006-03-31 |
| 1912971169 | John Scott Robertson | Psychologist | 5215 79th St, Lubbock, TX 79424-2832 | 2006-02-15 |
| 1770571804 | John Yeardley Robertson | Family Medicine | 1478 W Main St, Newark, OH 43055-3687 | 2005-10-12 |
| 1013918796 | John M Robertson | Psychologist | 1441 Wakarusa Dr, Suite 200, Lawrence, KS 66049-3832 | 2005-08-03 |
| Street Address |
6727 TAYLOR COURT |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790744654 | Patrick J. Budny | Specialist | 6727 Taylor Court, Montgomery, AL 36117-7708 | 2006-03-20 |
| 1063472322 | Michael P. Bentley | Specialist | 6727 Taylor Court, Montgomery, AL 36117-7708 | 2006-03-23 |
| 1235199506 | James Allen Clark IIi | Specialist | 6727 Taylor Court, Montgomery, AL 36117-7708 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780056945 | Melanie Petro Md LLC | Surgery | 905 Moontgomery Highway, Birmingham, AL 35216 | 2015-10-28 |
| 1316100670 | Patrick C Wilson | Surgery | 805 Madison St., Suite 1d, Huntsville, AL 35801 | 2008-07-08 |
| 1366629917 | Jeffery L Walding | Surgery | 2800 Ross Clark Cir Ste 2, Dothan, AL 36301-9917 | 2008-01-25 |
| 1639372725 | Justin Parish Martin | Surgery | 2431 W Main St Ste 302, Dothan, AL 36301-1251 | 2007-06-07 |
| 1245456805 | Michael D. Yates, Md, PC | Surgery | 303 Williams Av Sw, Suite 1421, Huntsville, AL 35801-6008 | 2007-04-18 |
| 1114062106 | Luther Dwight Baker | Surgery | 105 Professional Ln, Dothan, AL 36303-3875 | 2007-02-20 |
| 1932267218 | Gordon Michael Telepun | Surgery | 1206 Somerville Rd Se, Decatur, AL 35601 | 2006-12-05 |
| 1316014681 | Plastic Surgery Inc | Surgery | 701 University Blvd Medical Tower, Suite 902, Tuscaloosa, AL 35401 | 2006-11-29 |
| 1326066010 | Randy D. Proffitt, M.d., LLC | Surgery | 6317 Piccadilly Square Dr, Mobile, AL 36609-5103 | 2006-07-18 |
| 1528085347 | Randy Douglas Proffitt | Surgery | 740 Hillcrest Rd, Suite C, Mobile, AL 36695-3924 | 2006-07-16 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
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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.