Active NPI
Robert C. McKee, MD
- Plastic Surgery Physician
- Maryville, IL
National Provider Identifier
1528142312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 036078827
- Practice address
- 4956 Autumn Oaks Dr
Maryville, IL 62062-8559 - Phone
- (618) 288-1548
- NPI assigned
- Oct 25, 2006
- Last updated
- Jan 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 036078827 | IL | Primary |
Addresses
Primary practice location
4956 Autumn Oaks Dr
Maryville, IL 62062-8559
Mailing address
1836 Lackland Hill Pkwy
Attnt: Credentialing Dept
Saint Louis, MO 63146-3572
Phone (314) 989-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036078827003 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 74.76 of 100
- Quality
- 54.98
- Promoting interoperability
- 85
- Improvement activities
- 40
- Cost
- 73.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- crmckee@yourcarecommunity.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1528142312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1836 LACKLAND HILL PKWY",
"address_2": "ATTNT: CREDENTIALING DEPT",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463572",
"telephone_number": "314-989-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4956 AUTUMN OAKS DR",
"city": "MARYVILLE",
"state": "IL",
"postal_code": "620628559",
"telephone_number": "618-288-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEE",
"first_name": "ROBERT",
"middle_name": "C.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "IL",
"license": "036078827",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078827003",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Maryville, IL
- Maryville Pharmacy Inc (Maryville Pharmacy Cerettos)
- Maryville Physicians Services Inc
- Maryville Radiology Group, LTD
- Maryville Womens Center SSR PC
- Kara L McGarrahan, OT
- Laura E. McKinzie, NP
- Katrina McNair-Smith, MS,CCC-A
- Anna McNamara, PT, DPT
- McPherson Medical & Diagnostic LLC (American Medical Missouri)
- Med Plus Physical Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.