Active NPI
Robin Risling de-Jong, PA-C
- Physician Assistant
- Mobile, AL
National Provider Identifier
1396995551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TA-1666
- Practice address
- 2350 Schillinger Road South
Suite a
Mobile, AL 36695 - Phone
- (251) 633-0123
- Fax
- (251) 410-6127
- NPI assigned
- Sep 24, 2008
- Last updated
- Jul 8, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TA-1666 | AL | Primary |
Addresses
Primary practice location
2350 Schillinger Road South
Suite a
Mobile, AL 36695
Mailing address
P.O. Box 7627
Mobile, AL 36670-0627
Phone (251) 633-7211
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA-1666 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Medical Group, PC | Current | Accepting new patients | |
| Greater Mobile Urgent Care | Past | Accepting new patients |
Locations
101 Memorial Hospital Dr
Ste 200
Mobile, AL 36608
Phone (251) 414-3079
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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1841712684
-
- Family Medicine Physician
- Semmes, AL
- NPI 1275848095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1396995551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 7627",
"city": "MOBILE",
"state": "AL",
"postal_code": "366700627",
"telephone_number": "251-633-7211",
"fax_number": "251-410-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 SCHILLINGER ROAD SOUTH",
"address_2": "SUITE A",
"city": "MOBILE",
"state": "AL",
"postal_code": "36695",
"telephone_number": "251-633-0123",
"fax_number": "251-410-6127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISLING DE-JONG",
"first_name": "ROBIN",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-24",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "TA-1666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.