Active NPI
Clyn A Robinson, M.D.
- Anesthesiology Physician
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 5568094-1205
- Practice address
- 1050 E South Temple
Department of Anesthesia
Salt Lake City, UT 84102-1507 - Phone
- (801) 350-4700
- Fax
- (801) 350-4406
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5568094-1205 | UT | Primary |
Addresses
Primary practice location
1050 E South Temple
Department of Anesthesia
Salt Lake City, UT 84102-1507
Mailing address
1954 Fort Union Blvd Ste 101
Salt Lake City, UT 84121-6882
Phone (801) 993-9512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3580 W 9000
West Jordan, UT 84088-8812
Phone (972) 422-5941
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5568094-1205 | UT | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPH Anesthesia of Utah, LLC | Anesthesiology | Current | Accepting new patients |
| Omega Interventional Pain PLLC | Past | Accepting new patients | |
| Lifetree Medical Inc | Anesthesiology | Past | Accepting new patients |
Locations
2221 Lakeside Blvd
Ste 600
Richardson, TX 75082
Phone (469) 998-7450
1050 E South Temple
Slc, UT 84102
Phone (801) 350-4111
5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111
3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Ogden, UT
- NPI 1366077273
-
- Pain Medicine Physician
- Salt Lake City, UT
- NPI 1417253907
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1043915523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033117114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1954 FORT UNION BLVD STE 101",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841216882",
"telephone_number": "801-993-9512",
"fax_number": "801-733-5618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E SOUTH TEMPLE",
"address_2": "DEPARTMENT OF ANESTHESIA",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841021507",
"telephone_number": "801-350-4700",
"fax_number": "801-350-4406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "CLYN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "UT",
"license": "5568094-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.