Provider Demographics
NPI:1477517100
Name:MILLS, ROBIN S (MD)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:S
Last Name:MILLS
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 1:6071 E WOODMEN RD
Mailing Address - Street 2:SUITE 405
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-2607
Mailing Address - Country:US
Mailing Address - Phone:719-442-0808
Mailing Address - Fax:719-622-3400
Practice Address - Street 1:6071 E WOODMEN RD
Practice Address - Street 2:SUITE 405
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-2607
Practice Address - Country:US
Practice Address - Phone:719-442-0808
Practice Address - Fax:719-622-3400
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR0042673207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H77776Medicare UPIN
CODR0042673OtherCO MEDICAL LICENSE
IN000000511588OtherANTHEM PROVIDER ID # - WHC
IN000000595617OtherANTHEM
IN259190DMedicare PIN
IN070860AAAAMedicare PIN
IN200823870Medicaid
IN219880IMedicare PIN
IN3013232OtherOH MEDICAID