Basic Information
| Provider Information | |||||||||
| NPI: | 1194838300 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROBINSON | ||||||||
| FirstName: | RAYMOND | ||||||||
| MiddleName: | P | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1100 9TH AVE | ||||||||
| Address2: | MS:M4-PA | ||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3052433000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1100 9TH AVE | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981012756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2062236600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/15/2006 | ||||||||
| LastUpdateDate: | 02/20/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | MD00018997 | WA | N | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | 207X00000X | ME105002 | FL | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
ID Information
| ID | Type | State | Issuer | Description | 8270704 | 05 | WA | MEDICAID | 0039594 | 01 | WA | LABOR & INDUSTRY | OTHER | MD8997A | 01 | WA | ALASKA MEDICAID | OTHER | 0013018-00 | 05 | FL | MEDICAID | 200018193 | 01 | WA | RAILROAD MEDICARE | OTHER | US0861523 | 01 | WA | AETNA/USHC SPECIALIST | OTHER | R545 | 01 | WA | BLUE SHIELD | OTHER |