JOHN W ROBERTSON III MD PC NPI 1265638902

NPI Information

  • NPI: 1265638902
  • Provider Name: JOHN W ROBERTSON III MD, PC
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 8080 OLD YORK RD
    SUITE 212
    ELKINS PARK, PA
    ZIP 19027
  • Phone: (267) 763-1024

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NPI Details

JOHN W ROBERTSON III MD, PC is a vascular surgery surgery in Elkins Park, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. JOHN W ROBERTSON III MD, PC NPI is 1265638902. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8080 OLD YORK RD
SUITE 212
ELKINS PARK, PA
ZIP 19027-421
Phone: (267) 763-1024
Fax: (267) 763-1050

The provider's authorized official is John Robertson .
The authorized official title is Owner and has the following contact phone number (267) 763-1024.

The enumeration date for this NPI number is 6/21/2007 and was last updated on 11/9/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0129XSurgeryVascular SurgeryMD044947EPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F19982MEDICARE UPINPENNSYLVANIA
2714195MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
30013045930007MEDICAIDPENNSYLVANIA

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: 11/21/2025

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