Provider Demographics
NPI:1407858715
Name:ROBINSON, JAMES F (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:F
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 1:1603 SANTA ROSA RD
Mailing Address - Street 2:STE 203
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5010
Mailing Address - Country:US
Mailing Address - Phone:804-440-3376
Mailing Address - Fax:804-440-3377
Practice Address - Street 1:1603 SANTA ROSA RD
Practice Address - Street 2:STE 203
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23229-5010
Practice Address - Country:US
Practice Address - Phone:804-440-3376
Practice Address - Fax:804-440-3377
Is Sole Proprietor?:No
Enumeration Date:2005-06-01
Last Update Date:2009-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101024120174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1596679OtherCIGNA
VA5902037Medicaid
VA49D1089802OtherCLIA CERTIFICATE
VA320246199OtherVIRGINIA HEALTH NETWORK
VA354280OtherANTHEM
VA134565OtherSOUTHERN HEALTH
VA49D1089802OtherCLIA CERTIFICATE