Individual
ROGER JOHN ROBERTSON
Active
Individual
ROGER JOHN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD043727E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011657940001
—
PA
01
—
01133901
CAPITAL BLUE CROSS
PA
01
—
1007307260034
MEDICAID GROUP #
PA
01
—
120420411
DEPT OF LABOR
PA
01
—
123378
MEDPLUS
PA
01
—
1593334
FIRST HEALTH
PA
01
—
178152
HIGHMARK BLUE SHIELD
PA
01
—
2117055
ALLIANCE PPO
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
4349580
AENTA NON-HMO
PA
01
—
842364
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
MD043727E
LICENSE
PA
01
—
P00183613
RAILROAD MEDICARE
PA
Enumeration date
06/16/2005
Last updated
06/21/2023
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