1386703767 NPI number — DR. DAVID M ROBINSON AUD

Table of content: DR. DAVID M ROBINSON AUD (NPI 1386703767)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386703767 NPI number — DR. DAVID M ROBINSON AUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROBINSON
Provider First Name:
DAVID
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
AUD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386703767
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/14/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
410 N 200 W
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HYDE PARK
Provider Business Mailing Address State Name:
UT
Provider Business Mailing Address Postal Code:
84318-4040
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
435-563-3484
Provider Business Mailing Address Fax Number:
435-753-7691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
575 E 1400 N STE 140
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOGAN
Provider Business Practice Location Address State Name:
UT
Provider Business Practice Location Address Postal Code:
84341-2456
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
435-753-7171
Provider Business Practice Location Address Fax Number:
435-753-7691
Provider Enumeration Date:
12/08/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  03244864101 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1386703767 . This is a "MOLINA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 70962 . This is a "PEHP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 005742001 . This is a "PIN #000057420" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 1386703767 . This is a "HEALTH U" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 1386703767 , issued by the state of ( UT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 210420 . This is a "ALTIUS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 70962 . This is a "CHIP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 215622869069 . This is a "MOLINA" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 87050328684405A003 . This is a "TRI-WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001082371003 . This is a "UHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 001082371007 . This is a "UHC" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 03244864101001 . This is a "BCBS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 241780801 . This is a "FED WORKERS COMP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 87050328684341A002 . This is a "TRI-WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1386703767 . This is a "MAILHANDLERS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 80598 . This is a "CHIP" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 001082371003 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".
  • Identifier: 870503286684302A003 . This is a "TRI-WEST" identifier . This identifiers is of the category "OTHER".
  • Identifier: 00002080315 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 210421 . This is a "ALTIUS" identifier , issued by the state of ( UT ) . This identifiers is of the category "OTHER".




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