Active NPI
James Wendall Robison, MD
- Dermatology Physician
- Albuquerque, NM
National Provider Identifier
1255395836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- NM80241
- Practice address
- 5601 Planeta CT NE
Albuquerque, NM 87111-1416 - Phone
- (505) 821-3292
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 80241 | NM | |
| Dermatology Physician | 207N00000X | NM80241 | NM | Primary |
Addresses
Primary practice location
5601 Planeta CT NE
Albuquerque, NM 87111-1416
Mailing address
5601 Planeta CT NE
Albuquerque, NM 87111-1416
Phone (505) 821-3292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 850305120 | Other | NM | TRIWEST |
| 070001336 | Other | NM | RAILROAD MEDICARE |
| 207N00000X | 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 |
|---|---|---|---|
| 80241 | NM | MD | Dermatology Physician |
| NM80241 | NM | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1255395836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 PLANETA CT NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111416",
"telephone_number": "505-821-3292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5601 PLANETA CT NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871111416",
"telephone_number": "505-821-3292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBISON",
"first_name": "JAMES",
"middle_name": "WENDALL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NM",
"license": "80241",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NM",
"license": "NM80241",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "850305120",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070001336",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207N00000X",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.