Active NPI
Robert Wayne Poe, M.D.
- Otolaryngology Physician
- Branson, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2023032112
- Practice address
- 915 State Highway 248 Ste B
Branson, MO 65616-8004 - Phone
- (417) 213-9654
- Fax
- (417) 215-8055
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2023032112 | MO | Primary |
Addresses
Primary practice location
915 State Highway 248 Ste B
Branson, MO 65616-8004
Mailing address
320 S Commercial St Unit 2090
Branson, MO 65616-9998
Phone (417) 213-9654
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68323 | Other | NC | BLUE CROSS BLUE SHIELD |
| 6968323 | Medicaid | NC | |
| 129628 | Other | NC | WELLPATH INSURANCE |
| 31616 | Other | NC | STATE MEDICAL LICENSE NUM |
| 5440587 | Other | NC | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, KY, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081218000706 | NC | Practitioner - Otolaryngology | 8921160342 |
Receives reassigned benefits from 1 practitioner Practice locations: Southport, NC |
| I20240723000506 | KY | Practitioner - Otolaryngology | 8921160342 | Reassigns benefits to 1 organization |
| I20250415000585 | ME | Practitioner - Otolaryngology | 8921160342 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Arkansas College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainegeneral Medical Center
Practice addresses (Care Compare)
35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000
Hospital & facility affiliations
- Maine General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Mainegeneral Medical Center | Current | Accepting new patients | |
| Owensboro Health Medical Group, Inc. | Current | Accepting new patients | |
| Mainegeneral Medical Center | Otolaryngology | Current | Accepting new patients |
| Owensboro Health Medical Group Inc | Current | Accepting new patients | |
| Owensboro Health Medical Group Inc | Current | Accepting new patients |
Locations
1000 Breckenridge St
Ste 303
Owensboro, KY 42303
Phone (270) 685-2392
2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351
35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639
149 North St
Waterville, ME 04901
Phone (207) 622-1959
Interoperability endpoints
- robertpoe@mgh.allscriptsdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Organizations & group practices 8
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.
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- NPI 1477344976
-
- Family Medicine Physician
- Augusta, ME
- NPI 1063716710
-
- General Acute Care Hospital
- Augusta, ME
- NPI 1174858278
-
- Internal Medicine Physician
- Owensboro, KY
- NPI 1306700711
-
- Internal Medicine Physician
- Leitchfield, KY
- NPI 1487392510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1952453151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S COMMERCIAL ST UNIT 2090",
"city": "BRANSON",
"state": "MO",
"postal_code": "656169998",
"telephone_number": "417-213-9654",
"fax_number": "417-215-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 STATE HIGHWAY 248 STE B",
"city": "BRANSON",
"state": "MO",
"postal_code": "656168004",
"telephone_number": "417-213-9654",
"fax_number": "417-215-8055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POE",
"first_name": "ROBERT",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2023032112",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "68323",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6968323",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLPATH INSURANCE",
"identifier": "129628",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE NUM",
"identifier": "31616",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5440587",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Branson, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.