Active NPI
Justin A Robinson, MD
- Surgery Physician
- Yakima, WA
National Provider Identifier
1093739500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD00025728
- Practice address
- 3999 Englewood Ave
Suite 202
Yakima, WA 98902-6334 - Phone
- (509) 453-4614
- Fax
- (509) 453-3468
- NPI assigned
- Jul 27, 2006
- Last updated
- Jul 27, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD00025728 | WA | Primary |
Addresses
Primary practice location
3999 Englewood Ave
Suite 202
Yakima, WA 98902-6334
Mailing address
PO Box 2947
Yakima, WA 98907-2947
Phone (509) 248-7849
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Vascular Incorporated | Past | Accepting new patients | |
| Yakima Surgical Associates, PLLC | Past | Accepting new patients | |
| Memorial Physicians, PLLC | Past | Accepting new patients | |
| Memorial Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/2817/brand/1/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Yakima Vascular Associates
- Vascular Surgery Physician
- Ellensburg, WA
- NPI 1487893707
-
dba VMM Lower Valley Specialty Center Gastroenterology
- Multi-Specialty Clinic/Center
- Sunnyside, WA
- NPI 1558928143
-
- Physiological Laboratory
- Port Ludlow, WA
- NPI 1336019314
-
- Multi-Specialty Clinic/Center
- Yakima, WA
- NPI 1366471534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311724800000",
"number": "1093739500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2947",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989072947",
"telephone_number": "509-248-7849",
"fax_number": "509-249-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3999 ENGLEWOOD AVE",
"address_2": "SUITE 202",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989026334",
"telephone_number": "509-453-4614",
"fax_number": "509-453-3468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JUSTIN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD00025728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.