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NPI Code Detail

MEDICARE: ROGER JOHN ROBERTSON M.D.

MEDICARE:   ROGER JOHN ROBERTSON  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery PhysicianMD043727EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6P00183613OTHERPARAILROAD MEDICARE
11867633OTHERPAMEDICARE GROUP #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1120420411OTHERPADEPT OF LABOR
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3123378OTHERPAMEDPLUS
425-1716306OTHERPAHEALTHNET/TRICARE
5842364OTHERPAAETNA HMO
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
82117055OTHERPAALLIANCE PPO
901133901OTHERPACAPITAL BLUE CROSS
10178152OTHERPAHIGHMARK BLUE SHIELD
1225-1716306OTHERPADEVON
131593334OTHERPAFIRST HEALTH
144349580OTHERPAAENTA NON-HMO
15MD043727EOTHERPALICENSE

General Provider Information

NPI Number : 1770588816
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROGER JOHN ROBERTSON M.D.
Provider Business Mailing Address
First Line : 3480 EAGLE DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-7419
Country : US
Telephone Number : 717-404-3048
Fax Number :
Provider Business Practice Location Address
First Line : 3480 EAGLE DR
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-7419
Country : US
Telephone Number : 717-404-3048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 06/21/2023

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Directions to “ ROGER JOHN ROBERTSON M.D.” Practice Location

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