Individual provider Active NPI

Martha Milner Robinson, M.D.

  • Dermatology Physician
  • Okmulgee, OK
National Provider Identifier
1770508772
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
19124 Issued in OK
Practice address
114 N Grand Ave
Suite 508
Okmulgee, OK 74447-4013
Phone
(918) 758-3750
Fax
(918) 758-0342
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 19124 OK Primary

Addresses

Primary practice location

114 N Grand Ave
Suite 508
Okmulgee, OK 74447-4013

Mailing address

114 N Grand Ave
Suite 508
Okmulgee, OK 74447-4013
Phone (918) 758-3750

Other identifiers 1

IdentifierTypeStateIssuer
200199850AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MARTHAR@robinson.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20061204000468 OK Practitioner - Dermatology 4789683640

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19124OKMDDermatology Physician

Interoperability endpoints

  • Direct secure messaging: marthar@robinson.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1770508772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N GRAND AVE",
            "address_2": "SUITE 508",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474013",
            "telephone_number": "918-758-3750",
            "fax_number": "918-758-0342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N GRAND AVE",
            "address_2": "SUITE 508",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744474013",
            "telephone_number": "918-758-3750",
            "fax_number": "918-758-0342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARTHA",
        "middle_name": "MILNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "19124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200199850A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARTHAR@robinson.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Mail Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "114 N Grand Ave",
            "address_2": "SUITE 508",
            "city": "Okmulgee",
            "state": "OK",
            "country_code": "US",
            "postal_code": "744474013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

Verify at the official NPI Registry.