Individual
JAY GORDON ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2790 CLAY EDWARDS DR, SUITE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Mailing address
2790 CLAY EDWARDS DR, SUITE 1235, NORTH KANSAS CITY, MO 64116-3276
(816) 472-5157
(816) 472-7201
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
R8F09
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083610083
—
MO
01
—
12600064
BCBS PROVIDER ID
MO
01
—
130012717
RR MEDICARE PROVIDER ID
MO
Enumeration date
06/23/2005
Last updated
03/17/2016
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