Tracy James Robinson, MD | |
1947 E Sycamore Ln, Holladay, UT 84117-5130 | |
(952) 595-1100 | |
(612) 294-4903 |
Full Name | Tracy James Robinson |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 20 Years |
Location | 1947 E Sycamore Ln, Holladay, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689998924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 325622-1205 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Mark's Hospital | Salt lake city, UT | Hospital |
Ogden Regional Medical Center | Ogden, UT | Hospital |
Mountain West Medical Center | Tooele, UT | Hospital |
Lakeview Hospital | Bountiful, UT | Hospital |
Lone Peak Hospital | Draper, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Utah Imaging Associates Inc | 1355394537 | 42 |
Tooele Valley Imaging Llc | 2466624630 | 22 |
Green River Radiology Pc | 5294123063 | 23 |
Entity Name | Utah Imaging Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629076229 PECOS PAC ID: 1355394537 Enrollment ID: O20050228000845 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20100505001083 |
Entity Name | Tooele Valley Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699004499 PECOS PAC ID: 2466624630 Enrollment ID: O20111012000146 |
Entity Name | Oquirrh Radiology Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568734143 PECOS PAC ID: 4082875448 Enrollment ID: O20120411000273 |
Entity Name | Green River Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508533878 PECOS PAC ID: 5294123063 Enrollment ID: O20211027002062 |
Mailing Address | Practice Location Address |
---|---|
Tracy James Robinson, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Tracy James Robinson, MD 1947 E Sycamore Ln, Holladay, UT 84117-5130 Ph: (952) 595-1100 |