Active NPI
Thomas Robinson, MD
- Internal Medicine Physician
- Gallup, NM
National Provider Identifier
1245202357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 79-81
- Practice address
- Rehoboth McKinley Christian Health Care Services
2111 College Drive
Gallup, NM 87301 - Phone
- (505) 863-1820
- NPI assigned
- Feb 2, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 79-81 | NM | Primary |
Addresses
Primary practice location
Rehoboth McKinley Christian Health Care Services
2111 College Drive
Gallup, NM 87301
Mailing address
Rehoboth McKinley Christian Health Care Services
1901 Red Rock Drive
Gallup, NM 87301
Phone (505) 863-7000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850313268002 | Other | CHAMPUS | |
| NM002302 | Other | NM | BCBS |
| 10002810 | Other | NM | LOVELACE HEALTH/SALUD |
| 265092 | Medicaid | AZ | |
| PROVP15745 | Other | NM | MOLINA |
| 02774 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79-81 | NM | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1245202357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES",
"address_2": "1901 RED ROCK DRIVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-863-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "REHOBOTH MCKINLEY CHRISTIAN HEALTH CARE SERVICES",
"address_2": "2111 COLLEGE DRIVE",
"city": "GALLUP",
"state": "NM",
"postal_code": "87301",
"telephone_number": "505-863-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "THOMAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NM",
"license": "79-81",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "850313268002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM002302",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH/SALUD",
"identifier": "10002810",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265092",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP15745",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02774",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gallup, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.