JED ROBINSON (NPI# 1164730917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164730917 |
| Entity Type | Individual |
| Full Name | JED ROBINSON |
| Credential | D.O. |
| Practice Address |
2106 Loop Rd Ste B Winnsboro LA 71295-3343 |
| Mailing Address |
232 Bollweevil Blvd Monroe LA 71203-6504 |
| Practice Telephone | 3184353771 |
| Practice Fax Number | 3184357233 |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2014-08-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 125.056367 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | CAQH | 12666819 | 01 |
| LA | 2363247 | 05 | |
| LA | MEDICARE | 9YJC5 | 01 |
| LA | LICENSE | DO.000376 | 01 |
| Street Address |
2106 LOOP RD STE B |
| City | WINNSBORO |
| State | LA |
| Zip Code | 71295-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619534864 | Christy M Shelton | Nurse Practitioner | 2106 Loop Rd Ste B, Winnsboro, LA 71295-3343 | 2019-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295365963 | Allyson Maxwell | Speech-Language Pathologist | 2330 Hwy La 15, Winnsboro, LA 71295 | 2020-01-22 |
| 1326564311 | Geaux Fit of La LLC | Physical Therapist | 3630 Front St, Winnsboro, LA 71295 | 2017-08-21 |
| 1407372220 | Pauline T Powell | Case Manager/Care Coordinator | 920 Maple St, Winnsboro, LA 71295 | 2017-08-15 |
| 1831613801 | Desi D Hoard | Counselor | 2513 Martin Dr., Winnsboro, LA 71295 | 2017-08-01 |
| 1174975213 | Tanya Grant | Case Manager/Care Coordinator | 2411 Gary St, Winnsboro, LA 71295 | 2016-07-12 |
| 1285085050 | Casey Ryan | Physical Therapist | 6340 Hwy 4, Winnsboro, LA 71295 | 2016-06-23 |
| 1003264649 | Ta'erica Manuel | Counselor | 1113 Lavender Dr, Winnsboro, LA 71295 | 2016-05-24 |
| 1073969168 | Ladill Majors | Counselor | 1459 Highway 618, Winnsboro, LA 71295 | 2016-05-09 |
| 1386090587 | Lakeisha Crockett | Case Manager/Care Coordinator | 2406c West St, Winnsboro, LA 71295 | 2016-05-06 |
| 1982064069 | Refford Oliver Sr. | Counselor | 2406 West St, Winnsboro, LA 71295 | 2016-03-02 |
| Find all providers in zip 71295 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396741575 | John Roberts Blackburn | Urology | 719 W Coke Rd, Ste 2, Winnsboro, TX 75494-3060 | 2005-06-22 |
| 1184745010 | Jay Busby | Urology | 2106 Loop Rd, Suite B, Winnsboro, LA 71295-3342 | 2007-04-02 |
| 1083795611 | Jay Busby Md A Professional Corporation | Urology | 2106 Loop Rd, Suite B, Winnsboro, LA 71295 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063030005 | Red Envelope Apmc | Urology | 15770 Paul Vega Dr Ste 200, Hammond, LA 70403-1475 | 2020-07-07 |
| 1225670961 | Rajendran Ambiavagar | Urology | 4209 Wakefield Blvd, Alexandria, LA 71303-2958 | 2019-10-15 |
| 1205208402 | Raymond Wendell Turner | Urology | 9854 Jennifer Ln, Shreveport, LA 71106-7716 | 2015-10-27 |
| 1326483678 | Tonye A Jones Jr. | Urology | 105 Medical Center Dr Ste 202, Slidell, LA 70461-5538 | 2013-04-30 |
| 1174966600 | Matthew Donald Strain | Urology | 1111 Medical Center Blvd Ste 650, Marrero, LA 70072 | 2013-04-15 |
| 1619232774 | Jay Heintz M.d. A Professional Medical LLC | Urology | 15770 Paul Vega Dr, Suite 200, Hammond, LA 70403-1475 | 2012-07-05 |
| 1336436252 | Omer Raheem | Urology | 3525 Prytania St Ste 614, New Orleans, LA 70115 | 2011-06-29 |
| 1861794745 | John Richard Enright | Urology | 4080 Locke Ln, Lake Charles, LA 70605-2258 | 2010-11-26 |
| 1508181421 | Alvin Simon Merlin | Urology | 4525 Hessmer Ave, Metairie, LA 70002-1525 | 2010-04-03 |
| 1568785160 | Harold R Neitzschman IIi Md Apmc | Urology | 1150 Robert Blvd Ste 350, Slidell, LA 70458-2008 | 2010-03-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.