Individual provider Active NPI

Sandra J Robinson, DO

  • Family Medicine Physician
  • Cut Bank, MT
National Provider Identifier
1487623781
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6793 Issued in MT
Practice address
707 3Rd St SE
Cut Bank, MT 59427-3500
Phone
(406) 873-5600
Fax
(406) 873-5609
NPI assigned
Mar 17, 2006
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201801260 NC
Family Medicine Physician 207Q00000X 10884 ND
Family Medicine Physician 207Q00000X 34.003389 OH
Family Medicine Physician 207Q00000X 859 WV
Family Medicine Physician 207Q00000X 2101009473 MI
Family Medicine Physician 207Q00000X 6793 MT Primary

Addresses

Primary practice location

707 3Rd St SE
Cut Bank, MT 59427-3500

Mailing address

405 S Indiana St
Conrad, MT 59425-2223
Phone (330) 726-3379

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171206001938 MT Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 2567532047 Practice locations: Cut Bank, MT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2101009473MIMDFamily Medicine Physician
6793MTMDFamily Medicine Physician
201801260NCMDFamily Medicine Physician
10884NDMDFamily Medicine Physician
34.003389OHMDFamily Medicine Physician
859WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care, Inc. - West Virginia Past Accepting new patients
Urgent Care, Inc - West Virginia Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1487623781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S INDIANA ST",
            "city": "CONRAD",
            "state": "MT",
            "postal_code": "594252223",
            "telephone_number": "330-726-3379",
            "fax_number": "406-873-5609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 3RD ST SE",
            "city": "CUT BANK",
            "state": "MT",
            "postal_code": "594273500",
            "telephone_number": "406-873-5600",
            "fax_number": "406-873-5609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SANDRA",
        "middle_name": "J",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "201801260",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "10884",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.003389",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "2101009473",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "6793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cut Bank, MT

Sources for this page

Verify at the official NPI Registry.