Provider Demographics
NPI:1477548055
Name:ROBISON, TERRY A (DO)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:A
Last Name:ROBISON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BROOKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-9126
Mailing Address - Country:US
Mailing Address - Phone:717-243-3485
Mailing Address - Fax:717-243-3658
Practice Address - Street 1:220 WILSON ST
Practice Address - Street 2:STE 109
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3650
Practice Address - Country:US
Practice Address - Phone:717-249-1929
Practice Address - Fax:717-249-9332
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2019-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS005792L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010442150001Medicaid
E94492Medicare UPIN
PA0010442150001Medicaid