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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
13185 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100095080A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164957668 | Robert Wilson | Pharmacist | 11950 De Palma Rd, Corona, CA 92883-8499 | 2017-04-22 |
1487020566 | Robert Wilson | Acupuncturist | 537 W Washington St, Marquette, MI 49855-4133 | 2015-08-12 |
1205247129 | Robert Norman Wilson IIi | Student in an Organized Health Care Education/Training Program | Gru College of Dental Medicine, Augusta, GA 30912-0001 | 2014-05-13 |
1477971885 | Robert Borden Wilson | Pediatrics | 2300 Hospital Dr Ste 120, Bossier City, LA 71111-2193 | 2014-04-02 |
1922362888 | Robert Travis Wilson | Emergency Medicine | 517 Kerri Cove Ct Apt 104, Midlothian, VA 23113-6873 | 2012-06-26 |
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 |
Street Address |
4201 S WESTERN AVE |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73109-3410 |
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 |
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 Code | 207RG0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Gastroenterology |
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. |
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 |
City | OKLAHOMA CITY |
Zip Code | 73109 |
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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.