Mainland Urology Clinic PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

J1130 Issued in TX

Legal business name

MAINLAND UROLOGY CLINIC PA

Practice address

313 FM 517 Rd W
Dickinson, TX 77539-4009

Phone

(281) 967-7912

Fax

(281) 967-7915

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Miles Robinson, M.D.NPI 1912989369

Title

President

Phone

(281) 967-7912

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Miles Robinson, M.D.

  • Urology Physician
  • Dickinson, TX
  • NPI 1912989369

  TX, Urology

  Medicare reassignment NPD Authorized official
• Charles R Broman, M.D.

  • Specialist
  • Dickinson, TX
  • NPI 1891798666
  NPD (past)
• Pamela B Robinson, M.D.

  • Specialist
  • Dickinson, TX
  • NPI 1124021860
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1881743516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394009",
            "telephone_number": "281-967-7912",
            "fax_number": "281-967-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 FM 517 RD W",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394009",
            "telephone_number": "281-967-7912",
            "fax_number": "281-967-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINLAND UROLOGY CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-967-7912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "J1130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031044301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ariana Dewan Mahmood, MD
• Mainland Allergy Clinic
• Mainland Anesthesia Associates, P.a.
• Mainland Eye Clinic PA
• Mainland Spine Center LLC
• Manifested Visions LLC
• Irene Marines
• Amanda Mark
• Chantay Marie Marker, LMT
• Walter Stanley Marker Jr., LMT

• All providers in Dickinson, TX
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.