Provider Demographics
NPI:1063770501
Name:JENKINSON, ROBERT HILL (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:HILL
Last Name:JENKINSON
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 1:501 S MIDVALE BLVD APT 206
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53711-1461
Mailing Address - Country:US
Mailing Address - Phone:541-231-7221
Mailing Address - Fax:
Practice Address - Street 1:UW HOSPITAL AND CLINICS 600 HIGHLAND AVE
Practice Address - Street 2:H4/831
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53792
Practice Address - Country:US
Practice Address - Phone:608-263-8114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
UT9713982-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program