Provider Demographics
NPI:1053343905
Name:ROBINSON, RICHARD GEORGE (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:GEORGE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2296 OPITZ BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-3300
Mailing Address - Country:US
Mailing Address - Phone:703-878-0924
Mailing Address - Fax:703-878-1037
Practice Address - Street 1:2296 OPITZ BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3300
Practice Address - Country:US
Practice Address - Phone:703-878-0924
Practice Address - Fax:703-878-1037
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101029723207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6096522Medicaid
VA6096522Medicaid
VAB06635Medicare UPIN