Provider Demographics
NPI:1124090907
Name:ROBBINS, TAMARA L (MD)
Entity type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:L
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:
Other - Last Name:DUNMOYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:912 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GRANT
Mailing Address - State:NE
Mailing Address - Zip Code:69140-3099
Mailing Address - Country:US
Mailing Address - Phone:308-352-7100
Mailing Address - Fax:308-352-7103
Practice Address - Street 1:912 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GRANT
Practice Address - State:NE
Practice Address - Zip Code:69140-3099
Practice Address - Country:US
Practice Address - Phone:308-352-7100
Practice Address - Fax:308-352-7103
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE36036207Q00000X
IN01051317207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10028569001Medicaid
IN234760021Medicare PIN
IN200325690Medicaid
IN911661WMedicare ID - Type Unspecified
IN200325690BMedicaid