Individual provider Active NPI

Robert Doxey, D.O.

  • Aerospace Medicine Physician
  • Coeur d'Alene, ID
National Provider Identifier
1164734133
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
02003939A Issued in IN
Practice address
210 E Sherman Ave Ste 304
Coeur D Alene, ID 83814-2750
Phone
(208) 664-6464
NPI assigned
Jul 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 02003939A IN Primary

Addresses

Primary practice location

210 E Sherman Ave Ste 304
Coeur D Alene, ID 83814-2750

Mailing address

210 E Sherman Ave Ste 304
Coeur D Alene, ID 83814-2750
Phone (208) 664-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200508002278 OH Order and Referring Only - General PracticePractitioner - General Practice 4587095484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02003939AINMDAerospace Medicine Physician

Interoperability endpoints

  • Direct secure messaging: robert.doxey.1@14191.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1164734133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E SHERMAN AVE STE 304",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142750",
            "telephone_number": "208-664-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E SHERMAN AVE STE 304",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142750",
            "telephone_number": "208-664-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOXEY",
        "first_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-07",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IN",
            "license": "02003939A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.