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1831171586 NPI number — MELISSA R. ROBINSON M.D.

NPI Number: 1831171586
Health Care Provider/Practitioner: MELISSA R. ROBINSON M.D.

Information about “1831171586” NPI (MELISSA R. ROBINSON M.D.) exists in 1831171586 in HTML format HTML  |  1831171586 in plain Text format TXT  |  1831171586 in PDF (Portable Document Format) PDF  |  1831171586 in an XML format XML  formats.

NPI Number : 1831171586 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1831171586",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ROBINSON",
    "FirstName": "MELISSA",
    "MiddleName": "R.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 31001-4110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PASADENA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91110-4110",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "406-329-5615",
    "MailingAddressFaxNumber": "406-329-5606",
    "FirstLinePracticeLocationAddress": "500 W BROADWAY ST STE 320",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MISSOULA",
    "PracticeLocationAddressStateName": "MT",
    "PracticeLocationAddressPostalCode": "59802-4003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "406-329-5615",
    "PracticeLocationAddressFaxNumber": "406-329-5606",
    "EnumerationDate": "11/17/2005",
    "LastUpdateDate": "04/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "MD60394950",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0001X",
          "TaxonomyName": "Clinical Cardiac Electrophysiology Physician",
          "LicenseNumber": "MD60394950",
          "LicenseNumberStateCode": "WA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0001X",
          "TaxonomyName": "Clinical Cardiac Electrophysiology Physician",
          "LicenseNumber": "MD209242",
          "LicenseNumberStateCode": "OR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0001X",
          "TaxonomyName": "Clinical Cardiac Electrophysiology Physician",
          "LicenseNumber": "MED-PHYS-LIC-142411",
          "LicenseNumberStateCode": "MT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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