MEDICARE: ROBERT J. ROBINSON MD MEDICAL CORPORATION

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	207Q00000X	Family Medicine Physician	01052398A	IN
2	207Q00000X	Family Medicine Physician	01023983A	IN

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

General Provider Information

NPI Number	:	1508081654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT J. ROBINSON MD MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	4018 E SOUTHPORT RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-3223
Country	:	US
Telephone Number	:	317-787-3276
Fax Number	:	317-787-3043

Provider Business Practice Location Address
First Line	:	4018 E SOUTHPORT RD
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46237-3223
Country	:	US
Telephone Number	:	317-787-3276
Fax Number	:	317-787-3043

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. ROBERT J. ROBINSON
Credential	:	M.D.
Telephone Number	:	317-787-3276

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	03/11/2013

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