John Robertson M D Family Medicine PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOHN ROBERTSON M D FAMILY MEDICINE PLLC

Doing business as

Anchor Family Medicine

Practice address

587 Main St Ste 104
New York Mills, NY 13417-1490

Phone

(315) 732-9368

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

John S Robertson, MDNPI 1184651770

Title

Owner

Phone

(315) 732-9368

Specialties & licenses 1

Addresses

Other names 1

• Anchor Family Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John S Robertson, M.D.

  • Family Medicine Physician
  • New Hartford, NY
  • NPI 1184651770
  Medicare reassignment NPD Authorized official
• Gina Marie White, FNP

  • Family Nurse Practitioner
  • New York Mills, NY
  • NPI 1629813274
  Medicare reassignment NPD
• Kari Moorhead, RPA-C

  • Physician Assistant
  • New Hartford, NY
  • NPI 1811291362
  Medicare reassignment

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1992427736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 MAIN ST STE 104",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 MAIN ST STE 104",
            "city": "NEW YORK MILLS",
            "state": "NY",
            "postal_code": "134171490",
            "telephone_number": "315-732-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN ROBERTSON M D FAMILY MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-732-9368",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchor Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Escape Away Massage, PLLC
• Melissa Evans, LPN
• Corrin Flihan, RN
• Gregory S Rorick
• Lauri Hartman, SPECIAL EDUCATION
• Judith M Rosinski, P.T.
• Linda Renee Kawam, D.O.
• Kelly Jean Koegel
• James Gregory Kolwaite, DC
• Nicole Maria Lockwood, RPH

• Family Medicine Physician in New York Mills, NY
• Providers in New York Mills, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.