Provider Demographics
NPI:1003843095
Name:ROBINSON, JEFFREY W (MD)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:W
Last Name:ROBINSON
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 1:6600 NIGHTINGALE LN
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-2754
Mailing Address - Country:US
Mailing Address - Phone:865-632-5885
Mailing Address - Fax:
Practice Address - Street 1:6600 NIGHTINGALE LN
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909-2754
Practice Address - Country:US
Practice Address - Phone:865-632-5885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN31809207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN110224992OtherRR MEDICARE PIN
TN3843315Medicaid
TNQ018878Medicaid
TN3843312Medicare ID - Type UnspecifiedLEGACY PIN
TN3706633Medicare ID - Type UnspecifiedLEGACY GROUP