Organization Active NPI

Michael Robinson Medical Clinic, LLC

  • Family Medicine Physician
  • Elk City, OK
National Provider Identifier
1649521568
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MICHAEL ROBINSON MEDICAL CLINIC, LLC
Practice address
1900 W. 2ND St
Suite a
Elk City, OK 73644
Phone
(580) 303-9060
Fax
(580) 303-9009
NPI assigned
Oct 2, 2012
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
Michael Lynn Robinson, MDNPI 1083879555
Title
MD/Owner
Phone
(580) 303-9060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1900 W. 2ND St
Suite a
Elk City, OK 73644

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000093 OK Part B Supplier - Clinic/Group Practice 2365689593 Receives reassigned benefits from 3 practitioners
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
37D2028404Michael Robinson MD Family Medical Clinic1900 West 2ND Street, Suite a, Elk City, OK 73644AccreditationJul 2, 2027
37D2171267Michael Robinson Medical Clinic1900 W 2ND, Ste a, Elk City, OK 73644Certificate of waiverAug 27, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBAEBA

Practitioners & affiliated clinicians

Practitioners 3

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": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1649521568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W 2ND ST STE A",
            "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",
            "address_2": "SUITE A",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "73644",
            "telephone_number": "580-303-9060",
            "fax_number": "580-303-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL ROBINSON MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "580-303-9060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.