Zachary Robertson, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1316 Issued in OK

Practice address

401 W Blue Starr Dr
Claremore, OK 74017-4006

Phone

(918) 343-6000

Fax

(918) 274-8556

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tulsa Emergency Medical Center IncGroup PAC ID 3375442692, 23 clinicians

Hillcrest Urgent Care, LLCGroup PAC ID 6608393715, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: zachary.robertsonpac.p10@direct.nextcare.nextgenshare.com
• Direct secure messaging: zachary.robertsonpac.p8@direct.nextcare.nextgenshare.com
• Direct secure messaging: zrobertson1339369@ahs.direct-ci.com

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.

• Hillcrest Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1417769829
  Medicare reassignment Care Compare group
• Tulsa Emergency Medical Center Inc

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment Care Compare group
• Medical Resource Management, LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment
• Southcrest Emergency Physicians PC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1205816048
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1588625701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174006",
            "telephone_number": "918-343-6000",
            "fax_number": "918-274-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W BLUE STARR DR",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740174006",
            "telephone_number": "918-343-6000",
            "fax_number": "918-274-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ZACHARY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OK",
            "license": "1316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert a. Gruenberg DDS
• Michelle Kaye Roberts Scoggins
• Danna Roberts, RN
• Jennifer Lee Roberts, BSN, RN
• William (Trey) Joseph Robertson, LAT,ATC
• Carly Marie Robinson, RD
• Cindy C Robinson, D.PH
• Alison Rodery
• Charles Allen Rodman IV, D.O.
• Alberto Rodriguez

• Medical Physician Assistant in Claremore, OK
• Providers in Claremore, OK by specialty
• Medical Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.