Donald W. Robertson, D.O., P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS 5543 Issued in FL

Legal business name

DONALD W. ROBERTSON, D.O., P.A.

Practice address

2828 S McCall Rd
Suite 21
Englewood, FL 34224-7791

Phone

(941) 474-8154

Fax

(941) 473-3583

NPI assigned

Mar 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Donald W. Robertson, D.O.

Title

President

Phone

(941) 474-8154

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267660800000",
    "number": "1699098699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "SUITE 26",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342247791",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 S MCCALL RD",
            "address_2": "SUITE 21",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342247791",
            "telephone_number": "941-474-8154",
            "fax_number": "941-473-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD W. ROBERTSON, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-04",
        "last_updated": "2010-03-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-8154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS  5543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1578528683",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; 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.