Robert Stuckert III, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34006102S Issued in OH

Practice address

531 5TH St
Beverly, OH 45715-8916

Phone

(740) 984-1414

Fax

(740) 984-1723

NPI assigned

Jun 16, 2005

Last updated

Aug 1, 2011By the provider in NPPES

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

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

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Housecalls Home Health Home health agency, Belpre, OH, CCN 368268
• Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
• Selby General Hospital Hospital, Marietta, OH, CCN 361319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: robert.stuckert@mmhs.medicity.net

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.

• Robert Stuckert III, D.O.

  dba Beverly Medical Center

  • Internal Medicine Physician
  • Beverly, OH
  • NPI 1962668665
  NPD (past) Authorized official
• Bayfront Enterprises Inc

  dba Bayfront Convenient Care Clinics

  • Urgent Care Clinic/Center
  • St Petersburg, FL
  • NPI 1710963236
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marietta Memorial Hospital

  • General Acute Care Hospital
  • Marietta, OH
  • NPI 1215936927
  Care Compare affiliation
• Ohio Homecare, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Belpre, OH
  • NPI 1811153646
  Care Compare affiliation
• Selby General Hospital

  • Critical Access Hospital
  • Marietta, OH
  • NPI 1124073465
  Care Compare affiliation

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1396740445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "457150325",
            "telephone_number": "740-984-1414",
            "fax_number": "740-984-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 5TH ST",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "457158916",
            "telephone_number": "740-984-1414",
            "fax_number": "740-984-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKERT",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006102S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmeline Jane Miller
• Robert Stuckert III, D.O. (Beverly Medical Center)
• Kayla Rorrer, MOT
• Betty J Schenkel, FNP
• Jordan Schilling
• Rebecca Wagner, RPH, PHARMD
• Shane R Wagner, PHARMD
• Ernest Paul Warren, R.PH.
• Waterford Township (Beverly-Waterford Township Rescue)
• Jennifer Worthington

• Internal Medicine Physician in Beverly, OH
• Providers in Beverly, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.