MR. ROBERT OSCAR ROBERTSON DO
NPI 1336137892
Family Medicine in Jackson, MI

Active since October 10, 2005
300 W WASHINGTON AVE, STE 150, JACKSON, MI 49201(517) 783-4664(517) 783-4698 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Robert Oscar Robertson Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT OSCAR ROBERTSON DO (NPI 1336137892) is an individual family medicine provider in Jackson, Michigan, licensed in Michigan (5101007194) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1336137892
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. ROBERT OSCAR ROBERTSONCredential: DO
Location Address300 W WASHINGTON AVE, STE 150Jackson, MI 49201-2180
Mailing Address300 W Washington Ave, Ste 150Jackson, MI 49201-2180 · (517) 783-4664 · Fax (517) 783-4698
Fax(517) 783-4698
Sole ProprietorNo
Enumeration DateOctober 10, 2005
Last NPPES UpdateOctober 4, 2011
NPI 1336137892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101007194
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

300 W WASHINGTON AVE, Jackson, MI 49201

Other Identifiers 5

Medicaid1744106MI
Other700C86358MI · Bcbs
Medicare UPINB46593
Medicare ID-Type Unspecified863580002
OtherP62172Aetna

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
300 W WASHINGTON AVE, SUITE 300
JACKSON, MI 49201
Specialist
300 W WASHINGTON AVE, STE 60
JACKSON, MI 49201
Family Medicine
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201
Nurse Practitioner
300 W WASHINGTON AVE, STE 300
JACKSON, MI 49201
Family Medicine
300 W WASHINGTON AVE, SUITE 060
JACKSON, MI 49201
Obstetrics & Gynecology
300 W WASHINGTON AVE
JACKSON, MI 49201
Surgery
300 W WASHINGTON AVE, SUITE 350
JACKSON, MI 49201
Nurse Practitioner
300 W WASHINGTON AVE, STE 150
JACKSON, MI 49201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Robertson's NPI number?

The NPI number for Robert Robertson is 1336137892. It was assigned to this individual provider in the NPPES registry on October 10, 2005.

Where is Robert Robertson located?

Robert Robertson practices at 300 W Washington Ave Ste 150, Jackson, MI 49201. The listed phone number is (517) 783-4664.

What is Robert Robertson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Robert Robertson was last updated on October 4, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.