Provider Demographics
NPI:1700898509
Name:ROBINSON FAMILY ENTERPRISES, INC.
Entity Type:Organization
Organization Name:ROBINSON FAMILY ENTERPRISES, INC.
Other - Org Name:OHIO RIVER PHYSICIAN GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:D
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-446-4211
Mailing Address - Street 1:305 UPPER RIVER RD
Mailing Address - Street 2:STE 2
Mailing Address - City:GALLIPOLIS
Mailing Address - State:OH
Mailing Address - Zip Code:45631-8020
Mailing Address - Country:US
Mailing Address - Phone:740-446-4421
Mailing Address - Fax:740-446-4553
Practice Address - Street 1:305 UPPER RIVER RD
Practice Address - Street 2:STE 2
Practice Address - City:GALLIPOLIS
Practice Address - State:OH
Practice Address - Zip Code:45631-8020
Practice Address - Country:US
Practice Address - Phone:740-446-4421
Practice Address - Fax:740-446-4553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1336111N00000X
OH34007332207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0682917Medicaid
OHT48700Medicare UPIN
OH0682917Medicaid