Provider Demographics
NPI:1558525337
Name:GEORGE F ROBIE JR M D PLLC
Entity Type:Organization
Organization Name:GEORGE F ROBIE JR M D PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:FIELDING
Authorized Official - Last Name:ROBIE
Authorized Official - Suffix:JR
Authorized Official - Credentials:M D
Authorized Official - Phone:580-225-5551
Mailing Address - Street 1:1900 WEST SECOND STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:ELK CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73644-4328
Mailing Address - Country:US
Mailing Address - Phone:580-225-5551
Mailing Address - Fax:580-225-5553
Practice Address - Street 1:1900 WEST SECOND STREET
Practice Address - Street 2:SUITE D
Practice Address - City:ELK CITY
Practice Address - State:OK
Practice Address - Zip Code:73644-4328
Practice Address - Country:US
Practice Address - Phone:580-225-5551
Practice Address - Fax:580-225-5553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-11
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14162207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200204550AMedicaid
D35209Medicare UPIN