Robert Anthony Puckett, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34.013890 Issued in OH

Practice address

245 Tarhe TRL
Upper Sandusky, OH 43351-8700

Phone

(419) 294-1525

Fax

(419) 209-0252

NPI assigned

Jun 21, 2016

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

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

Family Practice

Education

Lake Erie College of Osteopathic Medicine, Erie, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wyandot Memorial HospitalGroup PAC ID 1557340189, 70 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wyandot Memorial Hospital Hospital, Upper Sandusky, OH, CCN 361329
• Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rpuckett2682032@direct.bsmhealth.org

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.

• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Medicare reassignment Care Compare group NPD
• Wyandot Memorial Hospital

  • Rural Health Clinic/Center
  • Carey, OH
  • NPI 1659014728
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Wyandot Memorial Hospital

  • Rural Health Clinic/Center
  • Sycamore, OH
  • NPI 1275033011

  Family Medicine

  NPD (past)

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

• Blanchard Valley Regional Health Center

  • General Acute Care Hospital
  • Findlay, OH
  • NPI 1710920327
  Care Compare affiliation
• Wyandot Memorial Hospital

  • Critical Access Hospital
  • Upper Sandusky, OH
  • NPI 1477554475
  Care Compare affiliation

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1730539685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 TARHE TRL",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433518700",
            "telephone_number": "419-294-1525",
            "fax_number": "419-209-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 TARHE TRL",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433518700",
            "telephone_number": "419-294-1525",
            "fax_number": "419-209-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCKETT",
        "first_name": "ROBERT",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.013890",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OT016962",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0351048",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Troy Perkins
• Amy A Phillips, PAC
• Kayla Pierson, RN
• Tiffany R. Pottkotter, CNP
• Premier Operating Ohio, LLC
• Nicholas A Reid
• Ernest R Ricker, CNP
• Shileigh Erin Ricker, STNA
• Teena M Rife, RN
• Tamera Joan Risner, STNA

• Family Medicine Physician in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.