Provider Demographics
NPI:1013961366
Name:NORTON, ROBERT STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:STEVEN
Last Name:NORTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5533 W HILLSDALE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-5138
Mailing Address - Country:US
Mailing Address - Phone:559-622-8500
Mailing Address - Fax:559-622-9410
Practice Address - Street 1:5533 W HILLSDALE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-5138
Practice Address - Country:US
Practice Address - Phone:559-622-8500
Practice Address - Fax:559-622-9410
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2009-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA24728174400000X
CAG88246208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1068444Medicaid
CAG88246OtherMEDICAL LICENSE
CAG88246OtherMEDICAL LICENSE
WAAB21324Medicare ID - Type Unspecified