Individual provider Active NPI

Paul Gordon Henry Robbins, DO

  • Pediatrics Physician
  • Jamestown, NY
National Provider Identifier
1013446384
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00009173 Issued in GA
Practice address
107 Institute St
Jamestown, NY 14701-6628
Phone
(716) 484-4334
Fax
(833) 974-2031
NPI assigned
Jun 8, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00009173 GA Primary

Addresses

Primary practice location

107 Institute St
Jamestown, NY 14701-6628

Mailing address

107 Institute St
Jamestown, NY 14701-6628
Phone (716) 484-4334

Other practice location 1

1134 Central Ave
Dunkirk, NY 14048-3423
Phone (716) 366-6036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210217002916 NY Practitioner - Pediatric MedicinePractitioner - Hospitalist 9133468747 Reassigns benefits to 2 organizations
I20220207002568 PA Practitioner - Pediatric Medicine 9133468747 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LL51254SCMDInternal Medicine Physician
9173GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Health Services Inc Pediatrics CurrentSince Feb 1, 2022 Accepting new patients
Jamestown Area Medical Associates, L.L.P. CurrentSince Jun 1, 1997 Accepting new patients
The Chautauqua Center, Inc CurrentSince Jun 1, 2024 Accepting new patients
Great Lakes Physician Practice PC CurrentSince Jul 1, 2022 Accepting new patients
Chautauqua PT OT & SLP Professionals PLLC Past Accepting new patients

Locations

1134 Central Ave
Dunkirk, NY 14048
Phone (716) 366-6036

107 Institute St
Jamestown, NY 14701
Phone (716) 484-4334

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

201 State St
Erie, PA 16550
Phone (814) 877-2137

2 Hot Metal St
#E301
Pittsburgh, PA 15203

2 Hot Metal St
Bldg 3RD
Pittsburgh, PA 15203

Interoperability endpoints

  • Direct secure messaging: paul.robbins.1@22211.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1013446384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334",
            "fax_number": "833-974-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 INSTITUTE ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016628",
            "telephone_number": "716-484-4334",
            "fax_number": "833-974-2031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1134 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Dunkirk",
            "state": "NY",
            "postal_code": "140483423",
            "country_code": "US",
            "telephone_number": "716-366-6036",
            "fax_number": "833-974-1991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "PAUL",
        "middle_name": "GORDON HENRY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "00009173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.