Provider Demographics
NPI:1295721231
Name:ROBINSON, HOWARD K (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:K
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 JESSE JEWELL PKWY SE STE 200
Mailing Address - Street 2:ATTN: SANDRA LANCE
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3865
Mailing Address - Country:US
Mailing Address - Phone:770-297-7277
Mailing Address - Fax:770-533-7641
Practice Address - Street 1:1250 JESSE JEWELL PKWY SE STE 200
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3865
Practice Address - Country:US
Practice Address - Phone:770-297-7277
Practice Address - Fax:706-533-7641
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA44574207L00000X, 207LP2900X
GA044574208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000791766EMedicaid
GA000791766FMedicaid
GA000791766GMedicaid
GA000791766BMedicaid
GA000791766DMedicaid
GA000791766FMedicaid
GAG71395Medicare UPIN
GA05BDGLFMedicare PIN