Provider Demographics
NPI:1023051653
Name:ROBINSON, MICHAEL ANTHONY (DPM)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ANTHONY
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 UNION ST STE 310
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-7700
Mailing Address - Country:US
Mailing Address - Phone:617-277-2662
Mailing Address - Fax:617-734-9733
Practice Address - Street 1:67 UNION ST STE 310
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-7700
Practice Address - Country:US
Practice Address - Phone:617-277-2662
Practice Address - Fax:617-734-9733
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPD1511213EP1101X, 213ES0000X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001511OtherTUFTS
MA0023972OtherAETNA
MAY70618OtherBCBS
MA0338214Medicaid
MA2700239OtherUNITED HEALTHCARE
MA33431OtherHARVARD PILGRIM
MAY70618OtherBCBS
MAT58691Medicare UPIN