Individual provider Active NPI

Robert Wayne Poe, M.D.

  • Otolaryngology Physician
  • Branson, MO
National Provider Identifier
1952453151
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2023032112 Issued in MO
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

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
68323OtherNCBLUE CROSS BLUE SHIELD
6968323MedicaidNC
129628OtherNCWELLPATH INSURANCE
31616OtherNCSTATE MEDICAL LICENSE NUM
5440587OtherNCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, KY, ME3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
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 554 clinicians

Practice addresses (Care Compare)

35 Medical Ctr Pkwy
Augusta, ME 04330-8160
Phone (207) 621-1000

Hospital & facility affiliations

  • Maine General Medical Center Hospital, Augusta, ME, CCN 200039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mainegeneral Medical Center Current Accepting new patients
Mainegeneral Medical Center CurrentSince Feb 8, 2025 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Jun 26, 2024 Accepting new patients
Mainegeneral Medical Center Otolaryngology CurrentSince Feb 8, 2025 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jun 26, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.