Robert J McDevitt Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35056542 Issued in OH

Practice address

915 West Michigan Street
Suite 201
Sidney, OH 45365-2491

Phone

(937) 492-2094

Fax

(937) 492-1768

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dmcdonald@scsa.gwaydirect.com
• Direct secure messaging: rmcdevitt@scsa.gwaydirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1043293137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W MICHIGAN ST STE 202",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652491",
            "telephone_number": "937-492-2094",
            "fax_number": "937-492-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 WEST MICHIGAN STREET",
            "address_2": "SUITE 201",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453652491",
            "telephone_number": "937-492-2094",
            "fax_number": "937-492-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35056542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS RAILROAD",
            "identifier": "020013520",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704198",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4466412",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000027446",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.mcdevitt@wilsonhospital.medicity.net",
            "affiliation": "N",
            "address_1": "915 West Michigan Street",
            "address_2": "Suite 201",
            "city": "Sidney",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453652491",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marshall Pediatrics Inc
• Alexa Mason
• Kyle Maus, DO
• Miranda Maynard
• Rosemary McCarthy, D.O.
• Andrew David McDonald, M.D.
• Diana McWilliams
• Jalynn Mead
• Kathy Luan Mertz, LPN
• Erin M Meyer, BSW, MSW, LSW

• Surgery Physician in Sidney, OH
• Providers in Sidney, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.