Individual provider Active NPI

Robert D Knox, M.D.

  • Otolaryngology Physician
  • Hartford, KY
National Provider Identifier
1124222690
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
26549 Issued in KY
Practice address
1215 Old Main St
Hartford, KY 42347-1619
Phone
(270) 259-2714
Fax
(270) 259-3593
NPI assigned
Jun 11, 2007
Last updated
Jan 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 26549 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160921002548 NE Practitioner - Otolaryngology 3274623525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26549KYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Island Ear, Nose & Throat PC Otolaryngology CurrentSince Jun 8, 2017 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

  • Direct secure messaging: robert.knox.1@15020.direct.athenahealth.com

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1124222690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423470148",
            "telephone_number": "270-259-2714",
            "fax_number": "270-259-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 OLD MAIN ST",
            "city": "HARTFORD",
            "state": "KY",
            "postal_code": "423471619",
            "telephone_number": "270-259-2714",
            "fax_number": "270-259-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOX",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "26549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, KY

Sources for this page

Verify at the official NPI Registry.