Active NPI
Carl D Robinson, MD
- Neurology Physician
- Lewiston, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD15578
- Practice address
- 99 Campus Ave Ste 402
Lewiston, ME 04240-6045 - Phone
- (207) 777-4455
- Fax
- (207) 777-4458
- NPI assigned
- Jul 10, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD15578 | ME | Primary |
Addresses
Primary practice location
99 Campus Ave Ste 402
Lewiston, ME 04240-6045
Mailing address
C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950
Other practice location 1
117 Auburn St
Portland, ME 04103-6003
Phone (207) 797-4791
Other practice location 2
900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330250099 | Medicaid | ME | |
| CA0089 | Other | ME | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD15578 | ME | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Regional Medical Center | Current | Accepting new patients | |
| St. Mary'S Regional Medical Center | Current | Accepting new patients |
Locations
900 Broadway
Bangor, ME 04401
Phone (207) 907-3300
99 Campus Ave
Fl 4
Lewiston, ME 04240
Phone (207) 777-4420
99 Campus Ave
Ste 402
Lewiston, ME 04240
Phone (207) 777-4455
93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715
100 Campus Ave
Ste 205
Lewiston, ME 04240
Phone (207) 777-8974
99 Campus Ave
Lewiston, ME 04240
Phone (207) 777-4455
117 Auburn St
Portland, ME 04103
Phone (207) 797-4445
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lewiston, ME
- NPI 1447226584
-
- Skilled Nursing Facility
- Lewiston, ME
- NPI 1952306524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1639103997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
"address_2": "PO BOX 7291",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042437291",
"telephone_number": "207-777-8950",
"fax_number": "207-777-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 CAMPUS AVE STE 402",
"city": "LEWISTON",
"state": "ME",
"postal_code": "042406045",
"telephone_number": "207-777-4455",
"fax_number": "207-777-4458"
}
],
"practiceLocations": [
{
"address_1": "117 Auburn St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041036003",
"country_code": "US",
"telephone_number": "207-797-4791",
"fax_number": "207-317-5390",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Broadway",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044011900",
"country_code": "US",
"telephone_number": "207-907-3300",
"fax_number": "207-907-1923",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBINSON",
"first_name": "CARL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "ME",
"license": "MD15578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "330250099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CA0089",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.