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JASON OWEN ROBERTSON M.D. M.S. NPI 1730316456


NPI Information

NPI: 1730316456
Provider Name: JASON OWEN ROBERTSON, M.D., M.S.
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
9500 EUCLID AVENUE
CRILE BUILDING, 12TH FLOOR
CLEVELAND, OH
ZIP 44195
Phone: (216) 445-4051
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Jason Owen Robertson, M.D., M.S. is a pediatric surgery surgery in Cleveland, OH. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Jason Owen Robertson, M.D., M.S. NPI is 1730316456. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9500 EUCLID AVENUE
CRILE BUILDING, 12TH FLOOR
CLEVELAND, OH
ZIP 44195
Phone: (216) 445-4051

The NPI 1730316456 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 6/20/2009 and was last updated on 7/11/2019.


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
1208600000XSurgery2009013686MISSOURINo
22086S0120XSurgeryPediatric Surgery35136881OHIOYes
3390200000XStudent in an Organized Health Care Education/Training ProgramME131871FLORIDANo
4390200000XStudent in an Organized Health Care Education/Training Program4301109273MICHIGANNo

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
12009013686OTHERMISSOURIMISSOURI TEMPORARY LICENSE

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.