JOSEPH EDMUND ROBERTSON JR. (NPI# 1861444192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861444192 |
| Entity Type | Individual |
| Full Name | JOSEPH EDMUND ROBERTSON JR. |
| Credential | MD |
| Practice Address |
3375 Sw Terwilliger Blvd Portland OR 97239 |
| Mailing Address |
Po Box 4183 Portland OR 97208 |
| Practice Telephone | 5034943056 |
| Practice Fax Number | 5034947233 |
| Mailing Telephone | 5034946107 |
| Mailing Fax Number | 5034940470 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2008-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD 13258 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 180040670 | 01 | |
| OR | 280230 | 05 | |
| OR | MEDICARE IDTF | 110603 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294768 | Joseph William Robertson | Dentist | 1551 W Big Beaver Rd, Ste D-14, Troy, MI 48084-3528 | 2006-07-27 |
| 1376675124 | Joseph Tyler Robertson | Case Manager/Care Coordinator | 6800 Owensmouth Ave, 160, Canoga Park, CA 91303-3159 | 2007-03-09 |
| 1548216906 | Joseph Dean Robertson | Dentist | 5222 N Portland Ave, Oklahoma City, OK 73112 | 2006-05-26 |
| 1194798116 | Joseph Kenneth Robertson | Specialist | 2900 Veterans Way, Viera, FL 32940-8007 | 2006-02-09 |
| 1124012968 | Joseph Letcher Robertson Jr. | Pathology | 1144 N Road St, Elizabeth City, NC 27909-3353 | 2005-09-08 |
| Street Address |
3375 SW TERWILLIGER BLVD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912908880 | Daniel J Karr | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2005-08-02 |
| 1093379075 | Amr M Zaki | Student in an Organized Health Care Education/Training Program | 3375 Sw Terwilliger Blvd, Portland, OR 97239 | 2019-04-25 |
| 1770013252 | Amanda Kathleen Burr | Genetic Counselor, MS | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2017-06-15 |
| 1801242573 | Kellyn Nacke Bellsmith | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2016-05-11 |
| 1598129702 | Sandip Suresh | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2016-04-13 |
| 1689044273 | Talal Alabduljalil | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2015-09-25 |
| 1619362548 | Rohan Verma | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239 | 2015-03-30 |
| 1518351451 | Travis Kenneth Redd | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2015-03-27 |
| 1467866038 | Samuel Chase Werner | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239 | 2014-06-11 |
| 1881038404 | Rene Choi | Ophthalmology | 3375 Sw Terwilliger Blvd, Portland, OR 97239-4146 | 2013-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558979468 | Elise Caitlin Esposito | Student in an Organized Health Care Education/Training Program | 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 | 2020-07-16 |
| 1750908844 | Will Cowan | Student in an Organized Health Care Education/Training Program | 455 Sw Us Veterans Hospital Road., Portland, OR 97239 | 2020-07-06 |
| 1881219657 | Desiree Baer | Licensed Vocational Nurse | Sw Us Veterans Hospital Rd, Portland, OR 97239 | 2020-06-08 |
| 1285266205 | Melissa Irene Wheeler | Registered Nurse | Uhs-8l, 3181 S.w. Sam Jackson Park Road, Portland, OR 97239 | 2020-02-07 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1801448063 | Alice Huang Huang | Student in an Organized Health Care Education/Training Program | 3710 Sw Veterans Road, Portland, OR 97239 | 2019-07-09 |
| 1710446273 | Ellen Noreen Kessi | Social Worker | 3710 Sw Us Veterans Rd., Portland, OR 97239 | 2019-03-14 |
| 1508335704 | Jacqueline Marie Mular | Marriage & Family Therapist | 5550 Sw Macadam Suite 100, Portland, OR 97239 | 2018-11-16 |
| 1275030926 | Carly Elizabeth Dougher | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239 | 2018-04-10 |
| 1780188094 | Dennis John Samuel | Student in an Organized Health Care Education/Training Program | Ohsu, 3181 Sw Sam Jackson Park Rd. L-579, Portland, OR 97239 | 2018-03-21 |
| Find all providers in zip 97239 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| 1184912925 | Mehrdad Malihi | Ophthalmology | 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 | 2011-07-14 |
| 1275820714 | Aristomenis Thanos | Ophthalmology | 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 | 2011-07-06 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1497955777 | Paul James Mackenzie | Ophthalmology | 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 | 2007-07-24 |
| 1013127075 | Michael David Straiko | Ophthalmology | 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 | 2007-05-22 |
| 1952515645 | Jay Brandon Futterman | Ophthalmology | 3719 Se Market St, Portland, OR 97214-5147 | 2007-05-10 |
| 1063541381 | Thomas William Lindgren | Ophthalmology | 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 | 2007-03-04 |
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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.