Provider Demographics
NPI:1720002132
Name:ROBBINS, WAYNE K (DO)
Entity Type:Individual
Prefix:
First Name:WAYNE
Middle Name:K
Last Name:ROBBINS
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:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:5193 W BROAD ST STE 100
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1695
Practice Address - Country:US
Practice Address - Phone:614-788-2510
Practice Address - Fax:614-788-2529
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIWR010496207Y00000X
MI5101010496207YX0901X
OH34.013866207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0345192Medicaid
MI2840250Medicaid
MN46840OtherLICENSE NUMBER
MI5251218OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0152537485OtherHEALTH PLUS OF MICHIGAN
240003104OtherRR MEDICARE
MIF28394OtherHAP
MI204040OtherMCLAREN HEALTH ADVANTAGE
MI381862593002OtherCIGNA
MI4252133OtherAETNA
MI0152537485OtherHEALTH PLUS OF MICHIGAN
F28394Medicare UPIN