Organization Active NPI

Richard C Robertson Jr MD LLC

  • Pain Medicine (Anesthesiology) Physician
  • Covington, LA
National Provider Identifier
1114563160
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
RICHARD C ROBERTSON JR MD LLC
Practice address
7039 Highway 190 East Service Rd Ste C
Covington, LA 70433-4961
Phone
(985) 869-8582
Fax
(985) 888-1838
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Covey Robertson Jr., MD.207479
Title
Member
Phone
(601) 212-8719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

7039 Highway 190 East Service Rd Ste C
Covington, LA 70433-4961

Mailing address

14 Dogwood Dr
Covington, LA 70433-4433
Phone (601) 212-8719

Other identifiers 1

IdentifierTypeStateIssuer
1053756965OtherLANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address francesg@segurapiancenter.com Direct

National Provider Directory

National Provider Directory

Locations

7039 Highway 190 East Service Rd
Ste C
Covington, LA 70433
Phone (985) 231-6751

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1114563160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 DOGWOOD DR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334433",
            "telephone_number": "601-212-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7039 HIGHWAY 190 EAST SERVICE RD STE C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334961",
            "telephone_number": "985-869-8582",
            "fax_number": "985-888-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C ROBERTSON JR MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "COVEY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-212-8719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD.207479"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053756965",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "francesg@segurapiancenter.com",
            "affiliation": "N",
            "endpointDescription": "Nurse's secured email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7039 Hwy #190 East Service Rd",
            "address_2": "Suit C",
            "city": "Covington",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.