Robert Stuckert III, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34006102 Issued in OH

Legal business name

ROBERT STUCKERT III, D.O.

Doing business as

Beverly Medical Center

Practice address

531 5TH St
Beverly, OH 45715-8916

Phone

(740) 984-1414

Fax

(740) 984-1723

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By 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 Stuckert III, D.O.NPI 1396740445

Title

Owner

Phone

(740) 984-1414

Specialties & licenses 1

Addresses

Other names 1

• Beverly Medical Center Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 2

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 Stuckert III, D.O.

  • Internal Medicine Physician
  • Beverly, OH
  • NPI 1396740445
  NPD (past) Authorized official
• Patricia A Harris, CFNP

  • Family Nurse Practitioner
  • Athens, OH
  • NPI 1639307721
  NPD (past)

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1962668665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 325",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "457150325",
            "telephone_number": "740-984-1414",
            "fax_number": "740-984-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 5TH ST",
            "city": "BEVERLY",
            "state": "OH",
            "postal_code": "457158916",
            "telephone_number": "740-984-1414",
            "fax_number": "740-984-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT STUCKERT III, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "STUCKERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-984-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34006102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chadwick Ryan Huck, R.PH.
• Amanda Kasun, M.ED, BCBA
• Megan Marie Lang, MA CCC SLP
• Katie Miranda Lemley, SLP
• Emmeline Jane Miller
• Kayla Rorrer, MOT
• Betty J Schenkel, FNP
• Jordan Schilling
• Robert Stuckert III, D.O.
• Rebecca Wagner, RPH, PHARMD

• Internal Medicine Physician in Beverly, OH
• Providers in Beverly, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.