Provider Demographics
NPI:1154385052
Name:ROBINSON, ANN BAILEY (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:BAILEY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:BAILEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:216 NE EXECUTIVE WAY
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-1841
Mailing Address - Country:US
Mailing Address - Phone:816-875-2599
Mailing Address - Fax:816-875-2598
Practice Address - Street 1:1004 CARONDELET DR
Practice Address - Street 2:SUITE 450
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4802
Practice Address - Country:US
Practice Address - Phone:816-942-7200
Practice Address - Fax:816-941-2767
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2009-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO108492207Y00000X
KS04-27343207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1975258OtherUNITED HEALTH CARE
MO204510882OtherCHAMPUS
KS100370950CMedicaid
MO2330191OtherAETNA
KS100370950BMedicaid
MO26839029OtherBCBS OF KC
MOH17857Medicare UPIN
MOW44A395Medicare ID - Type UnspecifiedMO MEDICARE
KSW44A395AMedicare ID - Type UnspecifiedKS MEDICARE
MO26839029OtherBCBS OF KC