Robert D. Kistler MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ROBERT D. KISTLER MD

Practice address

3804 S Medford Dr
Lufkin, TX 75901-5780

Phone

(936) 634-2231

Fax

(936) 634-8012

NPI assigned

Oct 19, 2020

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert D Kistler, MDNPI 1740380831

Title

Manager/Owner

Phone

(936) 634-2231

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert David Kistler, MD

  • Family Medicine Physician
  • Lufkin, TX
  • NPI 1740380831
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Kay Dickinson, MSN, NP-C

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1508291048
  Medicare reassignment Care Compare group NPD
• Desiree Holley, PA-C

  • Physician Assistant
  • Hemphill, TX
  • NPI 1528110061
  Medicare reassignment Care Compare group
• James Berthold Spencer, M.D.

  • General Practice Physician
  • Jasper, TX
  • NPI 1205828647
  NPD

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1932708351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015780",
            "telephone_number": "936-634-2231",
            "fax_number": "936-634-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759015780",
            "telephone_number": "936-634-2231",
            "fax_number": "936-634-8012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 S Medford Dr",
            "address_purpose": "LOCATION",
            "city": "Lufkin",
            "state": "TX",
            "postal_code": "759015780",
            "country_code": "US",
            "telephone_number": "936-634-2231",
            "fax_number": "936-634-8012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT D. KISTLER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-04-29",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "936-634-2231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G8217",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfmc@consolidated.net",
            "affiliation": "N",
            "address_1": "3804 S Medford Dr",
            "city": "Lufkin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759015780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shalicia Riggins, APRN-CNP
• James Roger Riley, LPC, LMFT
• Rima Kittley, MD
• Beverly Raye Roach, SW
• Linda C Robbins, A/GNP-BC
• Robert M Lindsey,M.D.P.a.
• Roberts Health and Wellness
• Mark Allen Roberts, D.C.
• Mary Ruth Roberts, M.A., LPC
• Sidney Creed Roberts, M.D.

• General Practice Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.