Provider Demographics
NPI:1942391354
Name:ROBINSON, THOMAS WILKES (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:WILKES
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1118 ROSS CLARK CIR
Mailing Address - Street 2:SUITE 402
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36301-3001
Mailing Address - Country:US
Mailing Address - Phone:334-673-3633
Mailing Address - Fax:334-836-2893
Practice Address - Street 1:1118 ROSS CLARK CIR
Practice Address - Street 2:SUITE 402
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3001
Practice Address - Country:US
Practice Address - Phone:334-673-3633
Practice Address - Fax:334-836-2893
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20895207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051503111OtherMEDICARE ID
AL63-1274940OtherCCN
AL009959100Medicaid
AL160057663OtherRAILROAD MEDICARE
FL61889OtherBLUE CROSS BLUE SHIELD
AL74-10667OtherUNITED HEALTHCARE
AL63-1274940OtherPRO AMERICA
AL63-1274940OtherCIGNA
AL63-1274940OtherTRICARE
AL515-03111OtherBLUE CROSS BLUE SHIELD
AL63-1274940OtherHEALTH CHOICE
AL63-1274940OtherBEECHSTREET
AL63-1274940OtherAETNA
AL63-1274940OtherAETNA
ALG50096Medicare UPIN