Provider Demographics
NPI:1962470252
Name:ROBINSON, WARREN LEWIS (MD, FACP)
Entity type:Individual
Prefix:DR
First Name:WARREN
Middle Name:LEWIS
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 GRAMPIAN BLVD
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17701-1900
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1100 GRAMPIAN BLVD
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17701-1909
Practice Address - Country:US
Practice Address - Phone:570-326-8470
Practice Address - Fax:570-326-8590
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037637E207RH0000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1751453OtherUNITEDHEALTHCARE
PAC31338OtherHEALTHAMERICA
PA5483481OtherAETNA
PA0010955280004Medicaid
PA135691OtherHIGHMARK BLUE SHIELD
PA50057109OtherKEYSTNE HLTH PLN CENTRAL
PA817377OtherFIRST PRIORITY HEALTH
PA823000OtherFIRST PRIORITY HEALTH
PAP00624247Medicare PIN
PA5483481OtherAETNA
PA135691OtherHIGHMARK BLUE SHIELD
PA1751453OtherUNITEDHEALTHCARE