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Robert Stuckert III, D.O.

Organization Active NPI Internal Medicine Physician · Beverly, OH

NPI 1962668665 · NPPES record last updated Aug 1, 2008

Key facts

NPI
1962668665
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
License
34006102 (OH)
Legal business name
ROBERT STUCKERT III, D.O.
Practice address
531 5TH St
Beverly, OH 45715-8916
Phone
(740) 984-1414
Fax
(740) 984-1723
NPI assigned
Aug 1, 2008
Organization subpart
No

Authorized official

Name
Dr. Robert Stuckert III, D.O.
Title
Owner
Phone
(740) 984-1414

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1031197Beverly Medical Center
531 5TH Street, Beverly, OH 45715		Certificate of waiverSep 26, 2026

National Provider Directory

Locations

1300 Pike St
Marietta, OH 45750
Phone (740) 373-4200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207R00000X 34006102 OH Yes

Addresses

Primary practice location

531 5TH St
Beverly, OH 45715-8916

Mailing address

PO Box 325
Beverly, OH 45715-0325
Phone (740) 984-1414

Other names

  • Beverly Medical Center Doing business as

Other providers in Beverly, OH

All providers in Beverly, OH · Internal Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.