Active NPI
Matthew Robison, DO
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- O-0646
- Practice address
- 3450 Potomac Way
Idaho Falls, ID 83404-7407 - Phone
- (208) 557-2900
- Fax
- (208) 557-2910
- NPI assigned
- Jul 7, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101016745 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | O-0646 | ID | Primary |
Addresses
Primary practice location
3450 Potomac Way
Idaho Falls, ID 83404-7407
Mailing address
3450 Potomac Way
Idaho Falls, ID 83404-7407
Phone (208) 557-2900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- 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
- Obstetrics/Gynecology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3450 Potomac Way
Idaho Falls, ID 83404-4970
Phone (208) 557-2900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-0646 | ID | MD | Obstetrics & Gynecology Physician |
| 5101016745 | MI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women's Healthcare Associates, P.a. | Obstetrics & Gynecology | Current | Accepting new patients |
| Angel Wings Center of Healing | Past | Accepting new patients |
Locations
808 Pancheri Dr
Idaho Falls, ID 83402
Phone (208) 552-6900
3450 Potomac Way
Idaho Falls, ID 83404
Phone (208) 552-6904
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rosemark WomenCare Specialists and/or Margaret Huggins, MD
- Obstetrics & Gynecology Physician
- Idaho Falls, ID
- NPI 1255400636
-
- Clinical Social Worker
- Idaho Falls, ID
- NPI 1215159819
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Idaho Falls, ID
- NPI 1669462362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441238400000",
"number": "1194757393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3450 POTOMAC WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047407",
"telephone_number": "208-557-2900",
"fax_number": "208-557-2910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 POTOMAC WAY",
"city": "IDAHO FALLS",
"state": "ID",
"postal_code": "834047407",
"telephone_number": "208-557-2900",
"fax_number": "208-557-2910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "MATTHEW",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2015-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101016745",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "ID",
"license": "O-0646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idaho Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.