DR. ROBERT COBURN KINGSBURY (NPI# 1275977340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275977340 |
| Entity Type | Individual |
| Full Name | DR. ROBERT COBURN KINGSBURY |
| Credential | MD |
| Practice Address |
226 Lakeside Dr. Millington MD 21651 |
| Practice Telephone | 4109283560 |
| Mailing Telephone | 4109283560 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD035230E | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962505412 | Robert John Kingsbury | Surgery | 10143 Paget Drive, Saint Louis, MO 63132-2915 | 2006-09-07 |
| 1487618195 | Robert D Kingsbury | Family Medicine | 4194 Lexington Ave N, Shoreview, MN 55126-6106 | 2006-04-12 |
| Street Address |
226 LAKESIDE DR. |
| City | MILLINGTON |
| State | MD |
| Zip Code | 21651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053424473 | Millington Pharmacy Inc | Pharmacy | 200 Sassafras St, Millington, MD 21651 | 2006-08-17 |
| 1891220018 | Frank Lewis Jr. | Surgery | 30475 River Rd, Millington, MD 21651-1308 | 2017-04-25 |
| 1194003814 | Kathryn D Micken | Physical Therapy Assistant | 124 Red Lion Branch Rd, Millington, MD 21651-1588 | 2011-07-29 |
| 1790320869 | Melanie Elizabeth Tarr | Lactation Consultant, Non-RN | 205 Groff Rd, Millington, MD 21651-1613 | 2019-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384360 | Sondra R Bolzman | Midwife, Lay | 4861 Main St, Millington, MI 48746-9671 | 2020-10-23 |
| 1942807235 | Natasha Lynn Hammock | Counselor | 6842 Northknoll Ave, Millington, TN 38053-3040 | 2020-10-08 |
| 1649880691 | Rachael H Love | Registered Nurse | 1435 Walsh Cv, Millington, TN 38053-6011 | 2020-08-05 |
| 1740890136 | Sarah Hartlerode | Dentist | 5915 N Watkins Rd, Millington, TN 38053-6936 | 2020-07-31 |
| 1437773397 | Tanya D Jones | Registered Nurse | 4932 Baywood Dr, Millington, TN 38053-3963 | 2020-06-05 |
| 1073137758 | Stephanie Nicole Zuckerman | Psychologist | Intrepid Street, Bldg. S-771, Millington, TN 38054 | 2020-05-29 |
| 1942821616 | Danielle Christine Weber | Occupational Therapist | 9034 Rivard Rd, Millington, MI 48746-9453 | 2020-05-04 |
| 1376171652 | Boatwright Drug Co., Inc | Pharmacy | 7899 Leroy Boatwright St, Millington, TN 38053-2137 | 2020-03-31 |
| 1063047140 | Brian Keith James | Bus | 5893 Garden Ridge Dr, Millington, TN 38053-8463 | 2020-03-09 |
| 1598398729 | Eric Walker | Occupational Therapist | 5993 Almond Creek Cv, Millington, TN 38053-8171 | 2020-02-17 |
| Find all providers in MILLINGTON | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710208178 | Michael W Johns | Family Medicine | 5722 Intregrity Dr. Bldg. S771, Branch Medical Clinic Nsa Mid-south, Millington, TN 38054 | 2010-06-18 |
| 1932258787 | Mid South Wellness Center, Inc | Family Medicine | 7662 Highway 51north, Suite 2, Millington, TN 38053 | 2007-01-10 |
| 1982767984 | Walter Elias IIi | Family Medicine | 5722 Integrity Drive Bldg. S771, Officer In Charge Branc, Millington, TN 38054-5021 | 2006-12-19 |
| 1417056409 | Samya Varuschka Cruz | Family Medicine | 5722 Integrity Dr Bldg 771, Millington, TN 38054-5028 | 2006-09-22 |
| 1023110780 | Sridhar A Rao | Family Medicine | 9030 State Rd, Millington, MI 48746-8902 | 2006-09-02 |
| 1740239490 | Catherine Jean Flowitt | Family Medicine | 5101 Thompson St, Millington, TN 38053-2458 | 2006-05-09 |
| 1154391977 | Jose Calixto De La Pena | Family Medicine | 5722 Intergrity Dr., Blgd S771 (nbhc Midsouth, Millington, TN 38054 | 2006-01-24 |
| 1588656730 | Toby Eric Anderson | Family Medicine | 9705 Oglesby Rd, Millington, TN 38053-4304 | 2005-08-15 |
| 1891205746 | Sheketa Lane | Family Medicine | 8188 Us Highway 51 N, Millington, TN 38053-1750 | 2017-10-05 |
| 1588116891 | Hamad Ahmad Md PC | Family Medicine | 4772 Navy Rd, Suite A, Millington, TN 38053-1927 | 2016-11-03 |
| Find all providers in MILLINGTON | ||||
| City | MILLINGTON |
| Zip Code | 21651 |
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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.