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DR. THERESA ELIZABETH ROBERTSON MD NPI 1215019518


NPI Information

NPI: 1215019518
Provider Name: DR. THERESA ELIZABETH ROBERTSON, MD
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

PECOS Registration: Yes

Address:
4320 WORNALL RD STE 530
KANSAS CITY, MO
ZIP 64111
Phone: (816) 932-7900
Get Directions

DR. Theresa Elizabeth Robertson, MD is a surgical critical care surgery in Kansas City, MO with 21 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. DR. Theresa Elizabeth Robertson, MD NPI is 1215019518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduation Year:2003

The provider's business location address is:

4320 WORNALL RD STE 530
KANSAS CITY, MO
ZIP 64111-942
Phone: (816) 932-7900
Fax: (816) 932-9868

The NPI 1215019518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 11/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery22642MISSISSIPPINo
2208600000XSurgeryU6795TEXASNo
32086S0102XSurgerySurgical Critical Care39735OKLAHOMANo
42086S0102XSurgerySurgical Critical CareU6795TEXASNo
52086S0127XSurgeryTrauma SurgeryU6795TEXASNo
62086S0102XSurgerySurgical Critical Care2004031001MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108220715MEDICAIDMISSISSIPPI
2201078750AMEDICAIDOKLAHOMA
32407015MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.