| Robinson Medical Clinic East, Llc | |
|
1221 Colorado Ave Elk City OK 73644-2800 | |
| (580) 225-4000 | |
| (580) 243-3408 |
| Full Name | Robinson Medical Clinic East, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1221 Colorado Ave, Elk City, Oklahoma |
| Authorized Official Name and Position | Lindsay Kay Robinson (OFFICE MANAGER) |
| Authorized Official Contact | 5802254000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robinson Medical Clinic East, Llc 1221 Colorado Ave Elk City OK 73644-2800 Ph: (580) 225-4000 | Robinson Medical Clinic East, Llc 1221 Colorado Ave Elk City OK 73644-2800 Ph: (580) 225-4000 |
| NPI Number | 1457892184 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 7113289505 |
|---|---|
| Medicare Enrollment ID | O20180323000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457892184 | NPI | - | NPPES |
| 200557990 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 9687 (Oklahoma) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 0083428 (Oklahoma) | Secondary |
| Provider Name | David Bank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396833083 PECOS PAC ID: 5698717585 Enrollment ID: I20080606000439 |
| Provider Name | Katie J Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326441775 PECOS PAC ID: 5597087486 Enrollment ID: I20141203002423 |
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