MEDICARE: KAREN E ROBINSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	D0063561	MD
2	207V00000X	Obstetrics & Gynecology Physician	D0063561	MD
3	207V00000X	Obstetrics & Gynecology Physician	MD60200519	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	65012503	OTHER	MD	BDBS MD
4	1366644197	OTHER	MD	GROUP NPI FOR WALDORF OBGYN
5	1851473722	OTHER	MD	GROUP NPI FOR MEDICAL & SURGICAL CLINICS OF SOUTHERN MARYLAND
6	B776-0028	OTHER	DC	BDBS DC

General Provider Information

NPI Number	:	1720014707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN E ROBINSON MD

Provider Business Mailing Address
First Line	:	PO BOX 25608
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84125-0608
Country	:	US
Telephone Number	:	206-320-4476
Fax Number	:	206-568-7043

Provider Business Practice Location Address
First Line	:	1101 MADISON ST STE 700
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98104-3599
Country	:	US
Telephone Number	:	206-215-6300
Fax Number	:	206-215-6301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2006
Last Update Date	:	01/03/2019

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Directions to “ KAREN E ROBINSON MD” Practice Location

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