Active NPI
James W Robinett Jr.
- Physician Assistant
- Poplar Bluff, MO
National Provider Identifier
1407273741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 20140024
- Practice address
- 2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318 - Phone
- (573) 785-4600
- Fax
- (573) 785-3611
- NPI assigned
- Mar 25, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 20140024 | MO | Primary |
Addresses
Primary practice location
2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318
Mailing address
2480 Three Rivers Blvd
Poplar Bluff, MO 63901-2318
Phone (573) 785-4600
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20140024 | MO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1407273741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 THREE RIVERS BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012318",
"telephone_number": "573-785-4600",
"fax_number": "573-785-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 THREE RIVERS BLVD",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639012318",
"telephone_number": "573-785-4600",
"fax_number": "573-785-3611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINETT",
"first_name": "JAMES",
"middle_name": "W",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-25",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MO",
"license": "20140024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.