Provider Demographics
NPI:1457369811
Name:ROBINSON, THOMAS H (PA)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:H
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 NORTHPORT AVE
Mailing Address - Street 2:COASTAL MEDICAL CARE
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-6069
Mailing Address - Country:US
Mailing Address - Phone:207-339-8412
Mailing Address - Fax:207-338-8368
Practice Address - Street 1:119 NORTHPORT AVE
Practice Address - Street 2:COASTAL MEDICAL CARE
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-6069
Practice Address - Country:US
Practice Address - Phone:207-339-8412
Practice Address - Fax:207-338-8368
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPA-614363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MES87060Medicare UPIN
MEAP1094Medicare ID - Type Unspecified