Healthcare Provider Details

I. General information

NPI: 1780638155
Provider Name (Legal Business Name): TIMOTHY D. ROBISON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S 37TH ST
MUSKOGEE OK
74401-4928
US

IV. Provider business mailing address

200 S 37TH ST
MUSKOGEE OK
74401-4928
US

V. Phone/Fax

Practice location:
  • Phone: 918-683-8100
  • Fax: 918-683-8198
Mailing address:
  • Phone: 918-683-8100
  • Fax: 918-683-8198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number13838
License Number StateOK
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number13838
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: