Provider Demographics
NPI:1275513483
Name:ROBINSON, JAMES M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M
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 1:180 GREENBRIAR BLVD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7233
Mailing Address - Country:US
Mailing Address - Phone:985-809-7171
Mailing Address - Fax:985-809-9470
Practice Address - Street 1:180 GREENBRIAR BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7233
Practice Address - Country:US
Practice Address - Phone:985-809-7171
Practice Address - Fax:985-809-1747
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAL09340R207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA0097941Medicaid
LA020643531ROtherOCHSNER
LAL09340ROtherSTATE LICENSE NUMBER
LA5720152OtherAETNA
LA5223324003OtherCIGNA
LA020643531ROtherOCHSNER
LAF79401Medicare UPIN