Provider Demographics
NPI:1245453752
Name:SCOTT A ROBINSON
Entity type:Organization
Organization Name:SCOTT A ROBINSON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PHYSICIANS BILLING OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-840-0505
Mailing Address - Street 1:1414 W 6TH ST
Mailing Address - Street 2:SUTE 200
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1701
Mailing Address - Country:US
Mailing Address - Phone:785-840-0505
Mailing Address - Fax:785-840-9014
Practice Address - Street 1:1112 W 6TH ST
Practice Address - Street 2:SUITE 109
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-2215
Practice Address - Country:US
Practice Address - Phone:785-840-3126
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100151770CMedicaid
KS100151770CMedicaid