Active NPI 1538415583 Individual Practitioner Male Practitioner

Timothy Wayne Robertson , LSA, CSA

Physician Assistant - Surgical • Katy, TX

Professional Overview & Biography Verified Profile Summary

Timothy Robertson, LSA, CSA is a registered healthcare professional specializing in Physician Assistant - Surgical in Katy, TX. Practice services are available at 4427 N VINEYARD MEADOW LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4427 N Vineyard Meadow Ln

Katy, TX 774493445

Telephone 8322488635

Associated Practice Facility / Clinic

🏢 Wb Assisting Llc Facility NPI 1699294751

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Katy, TX

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 6.0 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Katy, TX (1367 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-06-24

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License TX SA00487

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID N/a

SA00487 (TX)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location June 24, 2020

Registered at 4427 N VINEYARD MEADOW LN, KATY, TX 774493445 (Tel: 8322488635)

👤

Provider Name / Credentials Updated June 24, 2020

Recorded as TIMOTHY ROBERTSON, LSA, CSA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2020

Physician Assistant (License #SA00487 in TX)

📍

Updated Practice Location April 03, 2020

Registered at 1 SUGAR CREEK CENTER BLVD STE 618, SUGAR LAND, TX 774783540 (Tel: 8326554141)

👤

Provider Name / Credentials Updated April 03, 2020

Recorded as TIMOTHY ROBERTSON, LSA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2020

Specialist/Technologist, Other (License #SA00487 in TX)

📍

Updated Practice Location January 13, 2019

Registered at 4427 N VINEYARD MEADOW LN, KATY, TX 774493445 (Tel: 8322488635)

✅

NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2014

Registered at 1140 BUSINESS CENTER DR, SUITE #101, HOUSTON, TX 770432737 (Tel: 7138279316)

📍

Updated Business Mailing Address June 18, 2014

Registered at 4427 N VINEYARD MEADOW LN, KATY, TX 774493445 (Tel: 8322488635)

👤

Provider Name / Credentials Updated June 18, 2014

Recorded as TIMOTHY ROBERTSON, LSA, CSA, AHP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Physician Assistant (License #SA00487 in TX)

🟢

Initial NPI Registration & Enumeration July 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1538415583

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2012

Last Update: June 24, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

4427 N Vineyard Meadow Ln

Katy, TX 774493445

Phone: 8322488635

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.