Organization Active NPI

Robinson Medical Clinic West, LLC

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1417565433
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBINSON MEDICAL CLINIC WEST, LLC
Practice address
1900 W 2ND St Ste D
Elk City, OK 73644-4328
Phone
(580) 303-9060
Fax
(877) 592-0771
NPI assigned
Jul 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Mrs. Lindsay Kay Robinson
Title
Office Manager
Phone
(580) 303-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1900 W 2ND St Ste D
Elk City, OK 73644-4328

Mailing address

1900 W 2ND St Ste D
Elk City, OK 73644-4328
Phone (580) 303-9060

Other identifiers 1

IdentifierTypeStateIssuer
1861625691MedicaidOK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2201192Robinson Medical Clinic West, LLC1900 West 2ND, Ste D, Elk City, OK 73644Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1417565433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST STE D",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444328",
            "telephone_number": "580-303-9060",
            "fax_number": "877-592-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST STE D",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444328",
            "telephone_number": "580-303-9060",
            "fax_number": "877-592-0771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON MEDICAL CLINIC WEST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-15",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-303-9060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861625691",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.