MR. ROBIN D HOLBROOK (NPI# 1013909282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013909282 |
| Entity Type | Individual |
| Full Name | MR. ROBIN D HOLBROOK |
| Credential | PAC |
| Practice Address |
7629 Ky Route 979 Grethel KY 41631-6304 |
| Mailing Address |
1709 Ky Route 321 Ste 3 Prestonsburg KY 41653-9101 |
| Practice Telephone | 6065872200 |
| Practice Fax Number | 6065872203 |
| Mailing Telephone | 6068868546 |
| Mailing Fax Number | 6068868548 |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2010-06-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA100 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95000568 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629583984 | Robin Renee Holbrook | Nurse Practitioner | 714 Wayside Ct, Franklin, TN 37069-8105 | 2017-12-08 |
| Street Address |
7629 KY ROUTE 979 |
| City | GRETHEL |
| State | KY |
| Zip Code | 41631-6304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376542746 | Teresa Obrien-conley | Counselor | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-07-19 |
| 1790268530 | Shanna Jade Hall | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2018-09-07 |
| 1720589559 | Megan Rachelle Tackett | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2018-02-27 |
| 1649690538 | Christina Newsome | Nurse Practitioner | 7629 Ky Route 979, Grethel, KY 41631 | 2014-04-18 |
| 1437388022 | Sana Ehsan | Family Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2009-07-06 |
| 1780854026 | William T Connelly | Social Worker | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2008-03-03 |
| 1154367191 | Big Sandy Health Care Inc | Clinic/Center | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2006-06-20 |
| 1942246970 | Big Sandy Health Care Inc | Durable Medical Equipment & Medical Supplies | 7629 Ky Route 979, Mud Creek Clinic Pharmacy, Grethel, KY 41631-6304 | 2006-06-20 |
| 1922090190 | Jagan Annabathula | Internal Medicine | 7629 Ky Route 979, Grethel, KY 41631-6304 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609041979 | Floyd County Health Department | Public Health or Welfare | 6945 Ky Rt 979, Grethel, KY 41631 | 2008-04-28 |
| 1447419205 | Stephanie D Scott | Pharmacist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-06-06 |
| 1457515520 | Heather Whitt Spradlin | Dentist | 7629 Ky Rt 979, Grethel, KY 41631-6304 | 2008-07-17 |
| 1144439688 | Teresa Newsome | Developmental Therapist | 767 Frasure Br, Grethel, KY 41631-6311 | 2007-05-22 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225591 | Alexis Garrett | Physician Assistant | 16993 Green Crest Ln, Louisville, KY 40245-3217 | 2020-11-03 |
| 1215535257 | Melissa Lee Amos | Physician Assistant | 3543 Providence Trace Dr, Melbourne, KY 41059-9203 | 2020-10-12 |
| 1780282095 | Alison Deanne Power | Physician Assistant | 3209 Keithshire Way, Lexington, KY 40503-3481 | 2020-10-09 |
| 1225635691 | Mark Douglas Crawford II | Physician Assistant | 1288 Wyan Rd, London, KY 40744-9052 | 2020-10-07 |
| 1114524188 | Dustin Scott Ammerman | Physician Assistant | 682 Reed Rd, London, KY 40741-8662 | 2020-10-02 |
| 1588270110 | Reid Van Bussum | Physician Assistant | 913 Fiddler Creek Way, Lexington, KY 40515-6460 | 2020-09-18 |
| 1568077808 | Breanna Larae Damron | Physician Assistant | 1128 Ramey Ave, Worthington, KY 41183-9229 | 2020-09-14 |
| 1477168169 | Eleshia Stephenie Sumner | Physician Assistant | 252 Sargent Rd, Pine Knot, KY 42635 | 2020-09-10 |
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1902417389 | Kassandra Nicole Neltner | Physician Assistant | 2720 Marlo Way, Lakeside Park, KY 41017-2149 | 2020-08-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.