Organization Active NPI

Dr. John Y. Robertson Family Medicine Inc.

  • Family Medicine Physician
  • Newark, OH
National Provider Identifier
1942305727
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. JOHN Y. ROBERTSON FAMILY MEDICINE INC.
Doing business as
Robertson Family Medicine
Practice address
1478 W Main St
Newark, OH 43055-3687
Phone
(740) 366-1648
Fax
(740) 366-1528
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Dr. John Y Robertson, DO
Title
President
Phone
(740) 366-1648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1478 W Main St
Newark, OH 43055-3687

Mailing address

1478 W Main St
Newark, OH 43055-3687
Phone (740) 366-1648

Other identifiers 1

IdentifierTypeStateIssuer
2497927MedicaidOH

Other names 1

  • Robertson Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1478 W Main St
Newark, OH 43055
Phone (740) 366-1647

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1942305727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1478 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553687",
            "telephone_number": "740-366-1648",
            "fax_number": "740-366-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1478 W MAIN ST",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553687",
            "telephone_number": "740-366-1648",
            "fax_number": "740-366-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN Y. ROBERTSON FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-366-1648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2497927",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robertson Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.