Organization Active NPI

Gwenn S Robinson MD PC

  • Family Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1942413885
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NM 76-253 Issued in NM
Legal business name
GWENN S ROBINSON MD PC
Practice address
6100 Pan American East Fwy NE
Suite 430
Albuquerque, NM 87109-3427
Phone
(505) 821-2985
NPI assigned
May 7, 2007
Last updated
Jan 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Gwenn Susan Robinson, MDNPI 1073618328
Title
President
Phone
(505) 821-2985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X NM 76-253 NM Primary

Addresses

Primary practice location

6100 Pan American East Fwy NE
Suite 430
Albuquerque, NM 87109-3427

Mailing address

6100 Pan American East Fwy NE
Suite 430
Albuquerque, NM 87109-3427
Phone (505) 821-2985

Other identifiers 1

IdentifierTypeStateIssuer
22772MedicaidNM

National Provider Directory

National Provider Directory

Locations

6100 Pan American East Fwy NE
Ste 430
Albuquerque, NM 87109
Phone (505) 291-2040

Practitioners & affiliated clinicians

Practitioners 1

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1942413885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN EAST FWY NE",
            "address_2": "SUITE 430",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-821-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 PAN AMERICAN EAST FWY NE",
            "address_2": "SUITE 430",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093427",
            "telephone_number": "505-821-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWENN S ROBINSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "GWENN",
        "authorized_official_middle_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-821-2985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "NM 76-253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22772",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.