Alexander - Robertson III, CSA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

44645 Kerri CT
Novi, MI 48375-1573

Phone

(248) 344-6663

NPI assigned

Aug 30, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902916570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44645 KERRI CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751573",
            "telephone_number": "248-344-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44645 KERRI CT",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751573",
            "telephone_number": "248-344-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ALEXANDER",
        "middle_name": "-",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Roberts
• Katherine Roberts
• Le'Naeccha Roberts
• Meshach Roberts
• Tammy Jean Roberts, RBT
• Bryce Robertson, PTA
• Dionna Robertson
• Ian Robertson
• Jasmine Robertson
• Jasmine Robertson

• Surgical Physician Assistant in Novi, MI
• Providers in Novi, MI by specialty
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.