Provider Demographics
NPI:1831136696
Name:ROBINSON, RONALD PHILIP (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:PHILIP
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:PO BOX 49009
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-0001
Mailing Address - Country:US
Mailing Address - Phone:864-223-3070
Mailing Address - Fax:864-223-1396
Practice Address - Street 1:955 RIBAUT RD
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5441
Practice Address - Country:US
Practice Address - Phone:843-522-5130
Practice Address - Fax:864-223-1396
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC174932085B0100X, 2085D0003X, 2085N0700X, 2085N0904X, 2085P0229X, 2085R0202X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
1356443683OtherNPI - CAROLINA RADIOLOGY
SC174938Medicaid
608241301OtherACS/OWCP/DOL
608241301OtherACS/OWCP/FBL
608241302OtherACS/OWCP/DOL
608241302OtherACS/OWCP/FBL
202148722OtherTRICARE
608241300OtherACS/OWCP/DEEOIC
GA00741254AMedicaid
SC202148722OtherBLUE CROSS BLUE SHIELD
608241303OtherACS/OWCP/FBL
GA00741254AMedicaid
SCG568698298Medicare PIN