Active NPI
Grover C. Robinson III, MD
- Pediatrics Physician
- Glen Allen, VA
National Provider Identifier
1114944915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 010100113
- Practice address
- 10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652 - Phone
- (804) 266-9616
- Fax
- (804) 261-4935
- NPI assigned
- Jul 16, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 010100113 | VA | Primary |
Addresses
Primary practice location
10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652
Mailing address
10571 Telegraph Rd
Suite 110
Glen Allen, VA 23059-4652
Phone (804) 266-9616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6770258 | Medicaid | VA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010100113 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
| Pediatrics, Inc | Past | Accepting new patients |
Interoperability endpoints
- groverrobinsoniii@tpc.allscriptsdirect.net
Organizations & group practices 2
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": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324598400000",
"number": "1114944915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-266-9616",
"fax_number": "804-261-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10571 TELEGRAPH RD",
"address_2": "SUITE 110",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230594652",
"telephone_number": "804-266-9616",
"fax_number": "804-261-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "GROVER",
"middle_name": "C.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2011-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "010100113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6770258",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Allen, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.