Active NPI
Robert E McPherson, PA
- Medical Physician Assistant
- Houston, TX
National Provider Identifier
1306928742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA03368
- Practice address
- 4314 Yoakum Blvd
Houston, TX 77006-5818 - Phone
- (713) 850-0049
- Fax
- (713) 627-7302
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA03368 | TX | Primary |
Addresses
Primary practice location
4314 Yoakum Blvd
Houston, TX 77006-5818
Mailing address
7005 Mira Loma LN 102
Austin, TX 78723-1411
Phone (512) 795-4344
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00477893 | Other | TX | RR MCR |
| 198128401 | Medicaid | TX | |
| 8BC852 | Other | TX | BCBS TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA03368 | TX | MD | Medical Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Austin, TX
- NPI 1770878043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1306928742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 MIRA LOMA LN 102",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787231411",
"telephone_number": "512-795-4344",
"fax_number": "512-928-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4314 YOAKUM BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065818",
"telephone_number": "713-850-0049",
"fax_number": "713-627-7302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCPHERSON",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TX",
"license": "PA03368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00477893",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198128401",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8BC852",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.