Basic Information
| Provider Information | |||||||||
| NPI: | 1376512178 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NOYES | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | S | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 712 SOUTH CASCADE STREET | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187368757 | ||||||||
| Practice Location | |||||||||
| Address1: | 712 SOUTH CASCADE STREET | ||||||||
| Address2: | |||||||||
| City: | FERGUS FALLS | ||||||||
| State: | MN | ||||||||
| PostalCode: | 565372813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2187368000 | ||||||||
| FaxNumber: | 2187368757 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 36651 | MN | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | 207P00000X | 6449 | ND | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | 36651 | MN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | 6449 | ND | N | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | 3M206NO | 01 | MN | BCBS FFMG # | OTHER | 125378 | 01 | MN | U-CARE FFMG # | OTHER | 945815800 | 05 | MN | MEDICAID | 1026474 | 01 | MN | PREFERRED ONE FFMG# | OTHER | HP26662 | 01 | MN | HEALTHPARTNERS FFMG # | OTHER | 0598185 | 05 | IA | MEDICAID |