Provider Demographics
NPI:1619950680
Name:ROBINSON, KEITH (MD)
Entity Type:Individual
Prefix:
First Name:KEITH
Middle Name:
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:NRHN REHAB PHYSICIAN SERVICES
Mailing Address - Street 2:105 CORPORATE DRIVE
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801
Mailing Address - Country:US
Mailing Address - Phone:603-501-5547
Mailing Address - Fax:603-501-5650
Practice Address - Street 1:NRHN REHAB PHYSICIAN SERVICES
Practice Address - Street 2:70 BUTLER STREET
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079
Practice Address - Country:US
Practice Address - Phone:603-501-5547
Practice Address - Fax:603-501-5650
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13411207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH020470410OtherTAX ID
NH30206121Medicaid
NH3073094Medicaid
NH01Y010886NH01OtherBCBS
MA2105161Medicaid
NH01Y010886NH01OtherBCBS
NHI31864Medicare UPIN
I31864Medicare UPIN
NH000035502Medicare PIN