Provider Demographics
NPI:1346277589
Name:SKRINE, ROBIN A (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:A
Last Name:SKRINE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-7311
Practice Address - Country:US
Practice Address - Phone:570-271-6361
Practice Address - Fax:570-271-5785
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6401208600000X, 2086X0206X
PAMD062175L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016474700005Medicaid
TX201216303Medicaid
G52173Medicare UPIN
951562Medicare ID - Type Unspecified
TX201216303Medicaid
PA0016474700005Medicaid