DR. ROBERT LYON WILSON


Address: 4201 S Western Ave, Oklahoma City, OK 73109-3410
Phone: 4056324000

DR. ROBERT LYON WILSON (NPI# 1306821780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306821780
Entity Type Individual
Full Name DR. ROBERT LYON WILSON
Credential M.D.
Practice Address 4201 S Western Ave
Oklahoma City
OK 73109-3410
Practice Telephone 4056324000
Practice Fax Number 4056324073
Mailing Telephone 4056324000
Mailing Fax Number 4056324073
Enumeration Date 2005-12-08
Last Update Date 2011-07-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
13185 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 100095080A 05

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1144589458 Robert Wilson Chiropractor 132a N Central Ave, Centerville, TN 37033 2012-05-07
1649575937 Robert George Wilson Military Health Care Provider 515 Tessentee Rd, Franklin, NC 28734 2011-01-18
1396078317 Robert Max Wilson Case Manager/Care Coordinator 618 Manzano Ne, Albuquerque, NM 87110 2009-09-09
1013140672 Robert James Wilson Dentist 1321 N Tennessee St, # 108, Mckinney, TX 75069-2142 2009-08-31
1417189994 Robert P Wilson Jr. Physical Therapist 225 Evergreeen Road, Pottstown, PA 19464 2009-08-17

Office Location

Street Address 4201 S WESTERN AVE
City OKLAHOMA CITY
State OK
Zip Code 73109-3410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639153554 Ross Stanford Keener Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2005-12-05
1710355060 Trisha Louise Taron Registered Nurse 4201 S Western Ave, Oklahoma City, OK 73109-3407 2015-09-03
1720462567 Sonia George Nurse Practitioner 4201 S Western Ave, Oklahoma City, OK 73109-3410 2015-07-10
1457491086 Son Nguyen Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2007-02-06
1528175619 Syed M Rizvi Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2006-08-24
1770567554 Dan Raymond Northey Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2005-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063905354 Housecalls Family Medicine 4413 S Lee Ave, Oklahoma City, OK 73109 2018-06-11
1225559404 John Nathan Jacobsen Dentist 235 Sw 25th St., Oklahoma City, OK 73109 2017-06-28
1659828648 Cynthia Jane Laney Registered Nurse 4401 South Western, Oklahoma City, OK 73109 2016-09-07
1497104780 Hazel Soto Case Manager/Care Coordinator 420 Sw, St, Oklahoma, OK 73109 2016-06-07
1063873677 Ardeceley Brandi Annette Hernandez Community/Behavioral Health 5714 S. Western Ave, Oklahoma City, OK 73109 2016-03-09
1316343908 Van Ngo Nurse Practitioner 4413 South Lee Ave, Oklahoma City, OK 73109 2014-11-10
1104249150 Janessa Ladawn Bointy Counselor 5359 S. Western Ave. #707, Oklahoma City, OK 73109 2014-01-28
1033540299 Bryan Graham Case Manager/Care Coordinator 1111 Sw 28th St, Oklahoma City, OK 73109 2013-12-12
1154684603 Nubia Fiesel Counselor 420 Sw 10th Street, Oklahoma City, OK 73109 2012-06-20
1548533664 C.c. Freeman, Md. Inc Internal Medicine 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 2012-02-21
Find all providers in zip 73109

Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568706554 Ahmad S Jazzar Internal Medicine 5617 Normandy Ter, Oklahoma City, OK 73142-1823 2012-11-15
1730444886 Molly Beth Lindquist Disbrow Internal Medicine 920 Stanton L Young Blvd # Wp1345, Oklahoma City, OK 73104-5036 2012-07-05
1306111448 Southwest Gastroenterology Associates Pllc Internal Medicine 525 Sw 80th Street, Suite 200, Oklahoma City, OK 73139 2012-03-21
1528199866 Verapan Vongthavaravat Internal Medicine 4811 Gaillardia Pkwy Ste 200, Oklahoma City, OK 73142-1874 2007-03-08
1992852875 Shih-kuang Hong Internal Medicine 3110 Sw 89th St Ste 104, Oklahoma City, OK 73159-7920 2007-01-04
1083709430 Imad A Zantout Internal Medicine 4200 W.memorial Road, Suite 305, Oklahoma City, OK 73120 2006-10-03
1659308435 Rajesh Kanagala Internal Medicine 825 Ne 10th St # Street4e, Oklahoma City, OK 73104-5417 2006-06-27
1649245929 Jeff D Scott Internal Medicine 5015 N Pennsylvania Ave, Suite 303, Oklahoma City, OK 73112-8891 2006-02-21
1285606491 Sophia Janjua Khan Internal Medicine 4205 Mcauley Blvd Ste 375, Oklahoma City, OK 73120 2006-02-02
1639153554 Ross Stanford Keener Internal Medicine 4201 S Western Ave, Oklahoma City, OK 73109-3410 2005-12-05
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73109

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Dataset Information

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.

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