Healthcare Provider Details

I. General information

NPI: 1588388151
Provider Name (Legal Business Name): MIKAELA JAMES ROBINSON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2022
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2702 8TH AVE N
BILLINGS MT
59101-1107
US

IV. Provider business mailing address

PO BOX 35100
BILLINGS MT
59107-5100
US

V. Phone/Fax

Practice location:
  • Phone: 406-238-2769
  • Fax:
Mailing address:
  • Phone: 406-238-5046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberSTUDENT
License Number StateMT
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMED-PAC-LIC-116235
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: