Provider Demographics
NPI:1851735013
Name:ROBINSON, OKSANA J (AA-C)
Entity Type:Individual
Prefix:MRS
First Name:OKSANA
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:AA-C
Other - Prefix:MISS
Other - First Name:OKSANA
Other - Middle Name:J
Other - Last Name:TEVIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:AA-C
Mailing Address - Street 1:339 CONSORT DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-4439
Mailing Address - Country:US
Mailing Address - Phone:636-386-9224
Mailing Address - Fax:636-386-9224
Practice Address - Street 1:615 S NEW BALLAS RD
Practice Address - Street 2:DEPT. OF ANESTHESIA
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141
Practice Address - Country:US
Practice Address - Phone:314-251-4687
Practice Address - Fax:636-386-7679
Is Sole Proprietor?:No
Enumeration Date:2013-04-18
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013016099367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant