Active NPI
Iliana Ivette Robinson, MD
- Obstetrics & Gynecology Physician
- Philadelphia, PA
National Provider Identifier
1639231798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD435446
- Practice address
- 3900 Woodland Ave Dept 2ND
Philadelphia, PA 19104-4551 - Phone
- (215) 823-5800
- Fax
- (215) 823-4207
- NPI assigned
- Dec 15, 2006
- Last updated
- Nov 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | PAK000168 | PA | |
| Obstetrics & Gynecology Physician | 207V00000X | MD435446 | PA | Primary |
Addresses
Primary practice location
3900 Woodland Ave Dept 2ND
Philadelphia, PA 19104-4551
Mailing address
3900 Woodland Ave Dept 2ND
Philadelphia, PA 19104-4551
Phone (215) 823-5800
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PAK000168 | PA | MD | Acupuncturist |
| MD435446 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Services, Inc. | Past | Accepting new patients | |
| Spectrum Health Services Inc | 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.
-
- Federally Qualified Health Center (FQHC)
- Philadelphia, PA
- NPI 1881629012
-
dba Spectrum Health Rx
- Community/Retail Pharmacy
- Philadelphia, PA
- NPI 1164300901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1639231798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE DEPT 2ND",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800",
"fax_number": "914-941-0993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 WOODLAND AVE DEPT 2ND",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191044551",
"telephone_number": "215-823-5800",
"fax_number": "215-823-4207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "ILIANA",
"middle_name": "IVETTE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-15",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "PAK000168",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PA",
"license": "MD435446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.