Provider Demographics
NPI:1386672293
Name:ROBINSON, SCOTT A (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1112 W 6TH ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-2215
Mailing Address - Country:US
Mailing Address - Phone:785-840-9292
Mailing Address - Fax:785-840-9272
Practice Address - Street 1:1112 W 6TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2215
Practice Address - Country:US
Practice Address - Phone:785-840-9292
Practice Address - Fax:785-840-9272
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS4-24185207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100151770CMedicaid
KS100151770CMedicaid
KS102893Medicare ID - Type Unspecified