Daniel R. Robillard, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

130-023 Issued in WI

Practice address

3238 S 16TH St
Milwaukee, WI 53215-4535

Phone

(414) 643-4430

Fax

(414) 643-4693

NPI assigned

Jun 22, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396781688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 S 16TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154535",
            "telephone_number": "414-643-4430",
            "fax_number": "414-643-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBILLARD",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "130-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42908700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michell Robertson
• Tia Robertson
• Joseph Robey, CAA
• Paul E. Robey, D.O.
• Thomas Charles Robey, M.D.
• Adam James Robin, M.D.
• Alice A Robinson, MD
• Annie P Robinson
• Carlos B Robinson, SAC
• Clark Robinson, MD

• Medical Physician Assistant in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.