Provider Demographics
NPI:1568499333
Name:BAINES, ROBIN SABRINA (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:SABRINA
Last Name:BAINES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 COLISEUM DR STE 205
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-5963
Mailing Address - Country:US
Mailing Address - Phone:757-827-2550
Mailing Address - Fax:855-939-7186
Practice Address - Street 1:3000 COLISEUM DR STE 205
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-5963
Practice Address - Country:US
Practice Address - Phone:757-827-2550
Practice Address - Fax:855-939-7186
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101247580207QB0002X
NY231267207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA6663 - 70008A GRPMedicare PIN
NYRA6655 - BA0017 GRPMedicare PIN
I18648Medicare UPIN