Organization Active NPI

Robinson Medical Clinic East, LLC

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1457892184
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9687 Issued in OK
Legal business name
ROBINSON MEDICAL CLINIC EAST, LLC
Practice address
1221 Colorado Ave
Elk City, OK 73644-2800
Phone
(580) 225-4000
Fax
(580) 243-3408
NPI assigned
Mar 14, 2017
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 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) 225-4000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0083428 OK
Family Medicine Physician 207Q00000X 9687 OK Primary

Addresses

Primary practice location

1221 Colorado Ave
Elk City, OK 73644-2800

Mailing address

1221 Colorado Ave
Elk City, OK 73644-2800
Phone (580) 225-4000

Other identifiers 1

IdentifierTypeStateIssuer
200557990MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180323000056 OK Part B Supplier - Clinic/Group Practice 7113289505 Receives reassigned benefits from 1 practitioner
Practice locations: Elk City, OK

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
37D2129209Robinson Medical Clinic East1221 Colorado, Elk City, OK 73644Certificate of waiverApr 13, 2027

National Provider Directory

National Provider Directory

Locations

1221 Colorado Ave
Elk City, OK 73644
Phone (405) 225-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1457892184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 COLORADO AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442800",
            "telephone_number": "580-225-4000",
            "fax_number": "580-243-3408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 COLORADO AVE",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736442800",
            "telephone_number": "580-225-4000",
            "fax_number": "580-243-3408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON MEDICAL CLINIC EAST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "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": "580-225-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0083428",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "9687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200557990",
            "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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.