Provider Demographics
NPI:1093882250
Name:ROBINS, DAVID R SR (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:ROBINS
Suffix:SR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 GLENLEIGH CT
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3052
Mailing Address - Country:US
Mailing Address - Phone:865-888-4721
Mailing Address - Fax:865-671-0036
Practice Address - Street 1:629 MIDDLE CREEK RD
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5014
Practice Address - Country:US
Practice Address - Phone:865-774-4440
Practice Address - Fax:865-374-2162
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2021-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1701207X00000X
TNDO01701207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3300026Medicaid
103I208393Medicare Oscar/Certification
F98218Medicare UPIN
TN3300026Medicaid