John W Robertson III MD, PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

MD044947E Issued in PA

Legal business name

JOHN W ROBERTSON III MD, PC

Practice address

8080 Old York Rd
Suite 212
Elkins Park, PA 19027-1421

Phone

(267) 763-1024

Fax

(267) 763-1050

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

John Robertson

Title

Owner

Phone

(267) 763-1024

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Jasmyn Bright, DO

  • Dermatology Physician
  • Havre de Grace, MD
  • NPI 1578722856
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1265638902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD",
            "address_2": "SUITE 212",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271421",
            "telephone_number": "267-763-1024",
            "fax_number": "267-763-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 OLD YORK RD",
            "address_2": "SUITE 212",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271421",
            "telephone_number": "267-763-1024",
            "fax_number": "267-763-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W ROBERTSON III MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-763-1024"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD044947E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013045930007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Jiang
• Jincy Jijo, CRNP
• Regina Marie Jimenez, LSW
• JMPS Loving Arms Home Care Service
• John Duda MD PC
• Jenine Johnson Lowery
• Crystal Latondya Johnson, LPC
• Katishka Z Johnson
• Kira Arthea Jones, LPC
• Hojin Joo, D.C.

• Vascular Surgery Physician in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Vascular Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.