Donald Jack Robertson (NPI# 1447307871, PAC ID# 6507761491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1447307871 |
| PAC ID by PECOS | 6507761491 |
| Professional Enrollment ID | I20120306000764 |
| Full Name | Donald Jack Robertson |
| Organization Legal Name | BSA PHYSICIANS GROUP INC |
| Address |
6611 W Amarillo Blvd Bsa Cardiothoracic Surgery Amarillo TX 79106-1755 |
| Phone Number | 8062124535 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | CARDIAC SURGERY, GENERAL SURGERY, VASCULAR SURGERY |
| Group Practice PAC ID | 3971748146 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| 450209 | NORTHWEST TEXAS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 | 8062122129 | BSA PHYSICIANS GROUP INC |
| 6 Medical Dr, Amarillo, TX 79106-4136 | 8062126604 | BSA PHYSICIANS GROUP INC |
| 6611 W Amarillo Blvd, Bsa Cardiothoracic Surgery, Amarillo, TX 79106-1755 | 8062124535 | BSA PHYSICIANS GROUP INC |
| Organization Legal Name | BSA PHYSICIANS GROUP INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Ayala | Nurse Practitioner | Bsa Physicians Group Inc | 6611 W Amarillo Blvd, Bsa Cardiothoracic Surgery, Amarillo, TX 79106-1755 |
| Kevin D Fleming | Nurse Practitioner | Bsa Physicians Group Inc | 4510 Bell St, Amarillo, TX 79109-5714 |
| Mark C Drew | General Practice | Bsa Physicians Group Inc | 1000 S Coulter St, Bsa Advanced Wound Care Clinic, Amarillo, TX 79106-1781 |
| Shane Eugene Holloway | Surgical Oncology | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Stephanie M Alvarado | Nurse Practitioner | Bsa Physicians Group Inc | 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 |
| Lowell G Rollins Iii | Hospitalist | Bsa Physicians Group Inc | 1600 Wallace Blvd, Baptist St Anthonys Hospitalists, Amarillo, TX 79106-1799 |
| Erica Griffin Wheat | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Julie K Hampton | Nurse Practitioner | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Anuradha S Gopalachar | Internal Medicine | Bsa Physicians Group Inc | 4510 Bell St, Amarillo, TX 79109-5714 |
| John P Mckinley | General Surgery | Bsa Physicians Group Inc | 6 Medical Dr, Amarillo, TX 79106-4136 |
| Street Address |
6611 W AMARILLO BLVD BSA CARDIOTHORACIC SURGERY |
| City | AMARILLO |
| State | TX |
| Zip | 79106-1755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Ayala | Nurse Practitioner | Bsa Physicians Group Inc | 6611 W Amarillo Blvd, Bsa Cardiothoracic Surgery, Amarillo, TX 79106-1755 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mindy L Unrau | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Aubrey L Smith | Orthopedic Surgery | 1600 Coulter, Bldg B, Amarillo, TX 79106 | |
| Mustafa Hussain | Psychiatry | 6900 I-40, Suite 285, Amarillo, TX 79106 | |
| Lorina Leanne Wilhelm | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Amarillo, TX 79106 |
| Robert E Jackson Iii | Nuclear Medicine | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Allegra Kinzer | Nurse Practitioner | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Leonard E Dodson | Endocrinology | Amarillo Medical Specialists LLP | 1215 Coulter St, Suite 400, Amarillo, TX 79106 |
| Michael O Lagrone | Orthopedic Surgery | 1600 S Coulter St B, Amarillo, TX 79106-0703 | |
| Chad M Kennedy | Orthopedic Surgery | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 | |
| Ronald T Morgan | Orthopedic Surgery | Thane Morgan, M.d.p.a. | 1600 S Coulter, Building B, Amarillo, TX 79106-0703 |
| Find all physicians in zip 79106 | |||
| City | AMARILLO |
| Zip Code | 79106 |
| Specialty | THORACIC SURGERY |
| City + Specialty | AMARILLO + THORACIC SURGERY |
Please comment or provide details below to improve the information on Donald Jack Robertson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.