Provider Demographics
NPI:1912005281
Name:DR MARTIN ROBBINS MD LLC
Entity Type:Organization
Organization Name:DR MARTIN ROBBINS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MED DIR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:207-883-3883
Mailing Address - Street 1:308 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9774
Mailing Address - Country:US
Mailing Address - Phone:207-883-3883
Mailing Address - Fax:
Practice Address - Street 1:308 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9774
Practice Address - Country:US
Practice Address - Phone:207-883-3883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2009-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1851331433OtherINDIVIDUAL NPI #
ME321580000Medicaid
ME061287OtherANTHEM
ME1912005281OtherGROUP NPI #
ME0009223Medicare PIN
ME1912005281OtherGROUP NPI #