MEDICARE: XRS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207LP2900X	Pain Medicine (Anesthesiology) Physician
2	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
3	261QA1903X	Ambulatory Surgical Clinic/Center

General Provider Information

NPI Number	:	1346322187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XRS LLC

Provider Business Mailing Address
First Line	:	2400 N PARK DR
Second Line	:	SUITE 20
City	:	COLUMBUS
State	:	IN
Zip	:	47203-4425
Country	:	US
Telephone Number	:	812-376-0700
Fax Number	:	812-376-8625

Provider Business Practice Location Address
First Line	:	2400 NORTH PARK
Second Line	:	SUITE 20
City	:	COLUMBUS
State	:	IN
Zip	:	47203-4467
Country	:	US
Telephone Number	:	812-376-0700
Fax Number	:	812-376-8625

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RICHARD ANDREW ROBERTSON
Credential	:	MD
Telephone Number	:	812-376-0700

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	11/02/2022

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Directions to “XRS LLC ” Practice Location

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