MEDICARE: TED EMMONS ROBERTSON MD

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
1	207V00000X	Obstetrics & Gynecology Physician	35-026683	OH

General Provider Information

NPI Number	:	1205060597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TED EMMONS ROBERTSON MD

Provider Business Mailing Address
First Line	:	1055 SHARON-COPLEY ROAD
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9774
Country	:	US
Telephone Number	:	330-239-4021
Fax Number	:	330-239-4021

Provider Business Practice Location Address
First Line	:	1055 SHARON-COPLEY ROAD
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-9774
Country	:	US
Telephone Number	:	330-239-4021
Fax Number	:	330-239-4021

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/14/2009
Last Update Date	:	05/14/2009

Similar Medicare Providers

1619074648 — DR. GEORGIA T KALKANIS D.D.S.
Practice Location Address:

15872 W AIMEE DR
WADSWORTH, IL
60083-9774

Practice Phone: 847-858-1714
Practice Fax:

1720870082 — KATARIA D FIDLER
Practice Location Address:

585 WESTWOOD AVE
WADSWORTH, OH
44281-1066

Practice Phone: 330-410-9207
Practice Fax:

1093129280 — SHANNON BURTON DDS
Practice Location Address:

235 BROAD ST
WADSWORTH, OH
44281-2112

Practice Phone: 330-335-1563
Practice Fax:

1447251624 — DR. MICHAEL J. BOYER DPM
Practice Location Address:

119 BROAD ST
WADSWORTH, OH
44281-1851

Practice Phone: 330-334-1534
Practice Fax: 330-334-1535

1336141811 — SEAN D HOYNES M.D.
Practice Location Address:

5133 RIDGE RD # 1
WADSWORTH, OH
44281-9708

Practice Phone: 330-239-4455
Practice Fax: 330-239-4456

1518969013 — DAVID J DULLE M.D.
Practice Location Address:

5133 RIDGE RD # 1
WADSWORTH, OH
44281-9708

Practice Phone: 330-239-4455
Practice Fax: 330-239-4456

Directions to “ TED EMMONS ROBERTSON MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.