DR. ROBERT C WELLIVER (NPI# 1184723132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184723132 |
| Entity Type | Individual |
| Full Name | DR. ROBERT C WELLIVER |
| Credential | MD |
| Practice Address |
1200 Childrens Ave Oucpb 5100 Oklahoma City OK 73104-4637 |
| Mailing Address |
1122 Ne 13th St Ori 236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052712006 |
| Practice Fax Number | 4052712263 |
| Mailing Telephone | 4052712006 |
| Mailing Fax Number | 4052712263 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
133112 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0208X |
Pediatrics Specialization: Pediatric Infectious Diseases |
133112 | NY | Allopathic & Osteopathic Physicians |
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
133112 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 080222000049 | 01 |
| BC OF KANSAS | 000507730004 | 01 | |
| NY | 00735837 | 05 | |
| NY | UNIVERA | 00010187604 | 01 |
| NY | BC/BS | 000507730001 | 01 |
| NY | BC/BS | 000507730004 | 01 |
| NY | BC/BS | 000507730005 | 01 |
| BC OF KANSAS | 000507730005 | 01 | |
| NY | FIDELIS | 040426000753 | 01 |
| NY | IHA | 3905807 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124287651 | Robert Charles Welliver Jr. | Urology | 23 Hackett Blvd, Albany, NY 12208-3436 | 2008-06-09 |
| Street Address |
1200 CHILDRENS AVE OUCPB 5100 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-4637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546679 | Harold M Burkhart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1200 Childrens Ave, Ste 2e, Oklahoma City, OK 73104-4637 | 2005-08-24 |
| 1841814241 | Trista Anne Vancuren | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1568086965 | Kaleb Evan Fuller | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-06-01 |
| 1366065377 | Caroline Blakley | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-26 |
| 1356964514 | Rebecca Mary Varkey | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-22 |
| 1821611419 | Nicholas Reede Hoffsommer | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1699398172 | Daniel Joseph Moore | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1982227419 | Huan Pham | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1053934570 | Raj Patel | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-19 |
| 1750903449 | Naseem Alammar | Student in an Organized Health Care Education/Training Program | 1200 Childrens Ave, Oklahoma City, OK 73104-4637 | 2020-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2080P0208X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Infectious Diseases |
| A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790753044 | Terrence L Stull | Pediatrics | 940 Ne 13th St, 1b1409, Oklahoma City, OK 73104-5008 | 2006-03-12 |
| 1467420703 | Venusto H San Joaquin | Pediatrics | 940 Ne 13th St, 1b1409, Oklahoma City, OK 73104-5008 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992972277 | Kimberly Claire Martin | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2008-05-15 |
| 1285744045 | Michael Lee Chang | Pediatrics | 6151 S Yale Ave, Suite 1303, Tulsa, OK 74136-1907 | 2006-08-30 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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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.