Russell W. Robertson, M.D.P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

16087 Issued in CT

Legal business name

RUSSELL W. ROBERTSON, M.D.P.C.

Practice address

85 Seymour St
Suite 519
Hartford, CT 06106-5501

Phone

(860) 246-1203

Fax

(860) 246-1145

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Russell Wright Robertson, M.D.

Title

Owner

Phone

(860) 246-1203

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1518121623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 519",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-246-1203",
            "fax_number": "860-246-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 SEYMOUR ST",
            "address_2": "SUITE 519",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061065501",
            "telephone_number": "860-246-1203",
            "fax_number": "860-246-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL W. ROBERTSON, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "WRIGHT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-246-1203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "CT",
            "license": "16087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010016087CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1160878",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CTC",
            "identifier": "077233",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Rumplik, PHARMD, RPH
• Lily Dorothea Rundquist, DO
• Emma Rusconi
• Tilla F Ruser, M.D.
• Shontay Russ-Phulbas
• Isabella Russell, APRN
• Kristen Donna Russell, LCSW
• Michelle Russi
• Gilbert Russo, LCSW
• Marcy L. Russo, PH.D.

• Otolaryngology Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Otolaryngology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.