Dr. Robert Joseph Defatta, MD, PHD, FACS
Dr. Robert Joseph Defatta, MD, PHD, FACS is an Otolaryngology in Altoona, Wisconsin. Graduated from Louisiana State University School of Medicine in New Orleans in 2002, 24 years ago. Practices with Defatta ENT and Facial Plastic Surgery SC, a 4-clinician group and accepts Medicare assignment. Licensed in New York and Wisconsin.
- Years since qualifying
- 24
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- NY, WI
- In the registry since
- 2007
- Specialties on file
- 15
What do these letters mean?
Practice location Address checks out
1490 Rivers Edge TrlAltoona, WI 54720-1495
Phone: (715) 828-2368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 55984-20 (WI) |
|---|---|
| Otolaryngology Physician | Taxonomy 207Y00000X · Licence 243412 (NY) |
| Pediatric Otolaryngology Physician | Taxonomy 207YP0228X · Licence 243412 (NY) |
| Pediatric Otolaryngology Physician | Taxonomy 207YP0228X · Licence 55984 (WI) |
| Sleep Medicine (Otolaryngology) Physician | Taxonomy 207YS0012X · Licence 243412 (NY) |
| Sleep Medicine (Otolaryngology) Physician | Taxonomy 207YS0012X · Licence 55984 (WI) |
| Facial Plastic Surgery Physician | Taxonomy 207YS0123X · Licence 243412 (NY) |
| Facial Plastic Surgery Physician | Taxonomy 207YS0123X · Licence 55984 (WI) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Taxonomy 207YX0007X · Licence 55984 (WI) |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | Taxonomy 207YX0007X · Licence 243412 (NY) |
| Otolaryngic Allergy Physician | Taxonomy 207YX0602X · Licence 243412 (NY) |
| Otolaryngic Allergy Physician | Taxonomy 207YX0602X · Licence 55984 (WI) |
| Otology & Neurotology Physician | Taxonomy 207YX0901X · Licence 243412 (NY) |
| Otology & Neurotology Physician | Taxonomy 207YX0901X · Licence 55984 (WI) |
| Otolaryngology/Facial Plastic Surgery Physician | Taxonomy 207YX0905X · Licence 243412 (NY) |
Record details
| NPI number | 1578697520 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD , FACS |
| Sole proprietor | No |
| NPI enumerated | March 14, 2007 |
| Last updated in NPPES | December 20, 2021 |
| Certification date | December 20, 2021 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2002 (24 years in practice) |
| Group practice | Defatta Ent And Facial Plastic Surgery Sc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Altoona
-
Dr. Jeremy C Alderfer, MD
3119 Woodman Dr, Altoona, WI 54720-2668 · (920) 496-4700
-
Dr. Rima Abraham Defatta, MD
1490 Rivers Edge Trl, Altoona, WI 54720-2755 · (715) 828-2368