Provider Demographics
NPI:1750368791
Name:ROBINSON, RONALD E (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:E
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 1:4900 COX RD STE 100
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-6508
Mailing Address - Country:US
Mailing Address - Phone:804-346-1746
Mailing Address - Fax:804-346-1799
Practice Address - Street 1:4900 COX RD STE 100
Practice Address - Street 2:STE 100
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23060-6508
Practice Address - Country:US
Practice Address - Phone:804-346-1741
Practice Address - Fax:804-346-1799
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010487952085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD3333043 00Medicaid
VAC06703OtherMEDICARE GROUP
MD3333043 00Medicaid
VAVAA103973Medicare PIN
VA300002048Medicare PIN