Active NPI
Gwenn S Robinson MD PC
- Family Medicine Physician
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- NM 76-253
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gwenn Susan Robinson, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22772 | Medicaid | NM |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Albuquerque, NM
- NPI 1073618328
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.