Robert C Desko, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2020033698 Issued in MO

Practice address

120 Hospital Dr Ste 200
Lebanon, MO 65536-9227

Phone

(417) 533-6780

NPI assigned

Jul 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGBBDD

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

• Southwest Surgical Associates PC

  • Surgery Physician
  • Durango, CO
  • NPI 1962429902
  NPD

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1679590657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 200",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369227",
            "telephone_number": "417-533-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 HOSPITAL DR STE 200",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655369227",
            "telephone_number": "417-533-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Mercado St",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813017300",
            "country_code": "US",
            "telephone_number": "970-247-4448",
            "fax_number": "970-382-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESKO",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CO",
            "license": "41136",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2020033698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67950574",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Daugherty, PHARM.D.
• Lisa Michelle Delaney, M.D.
• Aaron Dent, D.O.
• Dental Professionals of Missouri, Richard Straus, D.M.D., P.C.
• Matthew R Derr, LPC
• Raegan D Dettlaff, LPC
• David Douglas, P.A.C
• Anna Marie Dryer, NP
• Amy Patricia Dunckel, PT
• Micheal J Durham, D.O.

• Surgery Physician in Lebanon, MO
• Providers in Lebanon, MO by specialty
• Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.