ROBERT STUCKERT III (NPI# 1396740445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396740445 |
| Entity Type | Individual |
| Full Name | ROBERT STUCKERT III |
| Credential | D.O. |
| Practice Address |
531 5th St Beverly OH 45715-8916 |
| Mailing Address |
Po Box 325 Beverly OH 45715-0325 |
| Practice Telephone | 7409841414 |
| Practice Fax Number | 7409841723 |
| Mailing Telephone | 7409841414 |
| Mailing Fax Number | 7409841723 |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2011-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34006102S | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 4573606 | 01 |
| OH | CIGNA | 7380139 | 01 |
| OH | HEALTH PLAN UPPER OH VALL | W06102 | 01 |
| OH | BCBS ANTHEM | 000000346859 | 01 |
| OH | 0110570 | 05 | |
| OH | BCBS MTN STATE | 201582447001 | 01 |
| Street Address |
531 5TH ST |
| City | BEVERLY |
| State | OH |
| Zip Code | 45715-8916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962668665 | Robert Stuckert IIi, D.o. | Internal Medicine | 531 5th St, Beverly, OH 45715-8916 | 2008-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518168590 | Carter E. Gillespie | Dentist | 521 Fifth St., Beverly, OH 45715 | 2007-05-29 |
| 1730268004 | Eye Care Associates of Beverly LLC | Optometrist | 505 5th Street Suite C, Beverly, OH 45715 | 2006-11-06 |
| 1992734735 | B & W Pharmacy, Inc. | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2006-07-02 |
| 1922627132 | Shane R Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2020-04-09 |
| 1518399054 | Rebecca Wagner | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2013-08-07 |
| 1134233216 | Herbert Lewis Kasun | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2006-08-18 |
| 1679687909 | Ernest Paul Warren | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2006-08-17 |
| 1568475184 | Chadwick Ryan Huck | Pharmacist | 501 Dietz Lane, Beverly, OH 45715 | 2006-08-14 |
| 1821651688 | Waterford Township | Ambulance | 207 4th Street, Beverly, OH 45715-0146 | 2019-04-17 |
| 1316499015 | Amanda Kasun | Behavioral Analyst | 153 Albright Rd, Beverly, OH 45715-5048 | 2016-10-28 |
| Find all providers in zip 45715 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1508244195 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Beverly 75 Herrick St, Lahey Institute of Urology, Beverly, MA 01915 | 2015-05-14 |
| 1003158635 | Humera Kausar | Internal Medicine | Lahey Infectious Disease, Beverly, 85 Herrick Street, Beverly, MA 01915 | 2013-03-21 |
| 1407010705 | Wei Yang | Internal Medicine | 77 Herrick St Ste 101, The Medical Group Inc, Beverly, MA 01915-3012 | 2008-07-15 |
| 1942484431 | Soumya Chandrasekaran | Internal Medicine | 100 Cummings Ctr Ste 166d, Beverly, MA 01915 | 2007-12-20 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1407960305 | Ullrich Schwertschlag | Internal Medicine | 3 Stone Ridge Rd, Beverly, MA 01915-2173 | 2006-08-18 |
| 1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
| 1386665321 | Agnieszka Maria Heith | Internal Medicine | 152 Conant St, Beverly, MA 01915-1600 | 2006-07-23 |
| 1205882966 | Bushra Khan | Internal Medicine | 152 Conant Street, Lahey Beverly, Beverly, MA 01915-2511 | 2006-05-25 |
| Find all providers in BEVERLY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.