Robert Watson Alcorn, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-033935 Issued in OH

Practice address

23366 Commerce Park
Suite 207
Beachwood, OH 44122-5850

Phone

(216) 534-0627

Fax

(216) 292-8865

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1679548788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK",
            "address_2": "SUITE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225850",
            "telephone_number": "216-534-0627",
            "fax_number": "216-292-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK",
            "address_2": "SUITE 207",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225850",
            "telephone_number": "216-534-0627",
            "fax_number": "216-292-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCORN",
        "first_name": "ROBERT",
        "middle_name": "WATSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-033935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245952",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.