Robert D Knox, M.D.
Individual provider Active NPI Otolaryngology Physician · Hartford, KY
NPI 1124222690 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1124222690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 26549 (KY)
- Practice address
- 1215 Old Main St
Hartford, KY 42347-1619 - Phone
- (270) 259-2714
- Fax
- (270) 259-3593
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160921002548 | NE | Practitioner - Otolaryngology | 3274623525 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26549 | KY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Ear, Nose & Throat PC | Otolaryngology | Current |
Accepting new patients |
Locations
2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856
704 N Alpha St
Grand Island, NE 68803
Phone (308) 384-5700
1113 Sherman St
Saint Paul, NE 68873
Phone (308) 754-4421
Interoperability endpoints
- robert.knox.1@15020.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 26549 | KY | Yes |
Addresses
Primary practice location
1215 Old Main St
Hartford, KY 42347-1619
Mailing address
PO Box 148
Hartford, KY 42347-0148
Phone (270) 259-2714
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000717433 | Other | ANTHEM BCBS | |
| 64265499 | Medicaid | KY |
Other providers in Hartford, KY
- John Jeffries
- Jeffrey K Jenkins
- Anita Joiner
- Marilyn G. Jones
- Karen Ammon
- Courtney Campbell Kramer
- Ky Counseling Partners
- Leticia K. Tucker, M.D., L.L.C.
- Christine Nicole Logsdon
- LP Hartford, LLC
All providers in Hartford, KY · Otolaryngology Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.