DR. ROBERT WALLACE KING JR. (NPI# 1932388360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932388360 |
| Entity Type | Individual |
| Full Name | DR. ROBERT WALLACE KING JR. |
| Practice Address |
14508 Maplelake Dr Edmond OK 73013-1863 |
| Practice Telephone | 4057536551 |
| Mailing Telephone | 4057536551 |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
9673 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093248395 | Robert Hedge King Jr. | Occupational Therapist | 9501 Hesshire Hill Ct, Waynesboro, PA 17268-8202 | 2017-04-04 |
| 1639624570 | Robert King Jr. | Health Maintenance Organization | 711 Crestline Ave S, Lehigh Acres, FL 33974-0723 | 2016-08-21 |
| 1235522566 | Robert King | Hearing Instrument Specialist | 6717 S Yale Ave Ste 204, Tulsa, OK 74136-3328 | 2015-03-11 |
| 1215369277 | Robert M King II | Counselor | 731 E Mount Morris St Ste 6, Mount Morris, MI 48458-2070 | 2013-08-01 |
| 1366786642 | Robert Michael King | Pharmacist | 315 Cleveland St, Ripley, TN 38063-1205 | 2012-11-27 |
| 1356665095 | Robert E King | Dentist | 150 Laurel Oak Dr, Sewickley, PA 15143-9385 | 2010-03-24 |
| 1962660456 | Robert Bruce King | Dentist | 8000 Moffat Road, Semmes, AL 36575 | 2008-05-30 |
| 1053599308 | Robert Thomas King | Community/Behavioral Health | 628 E High St, Marshall, MO 65340-1294 | 2008-02-07 |
| 1245364256 | Robert Grant King | Social Worker | 17 12th Ave S, Suite 204, Nampa, ID 83651-3952 | 2007-03-15 |
| 1336279553 | Robert Lee King | Counselor | 209 S Fuquay Ave, Fuquay Varina, NC 27526-2254 | 2007-03-06 |
| Street Address |
14508 MAPLELAKE DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1225069784 | Reeta Thukral | Internal Medicine | 3132 Garden Vista, Edmond, OK 73034 | 2006-07-05 |
| 1003858663 | Viorica Khalili | Internal Medicine | 105 S Bryant Ave, Suite 202, Edmond, OK 73034-6399 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710416573 | Universal Kidney Care of Oklahoma Pllc | Internal Medicine | 5300 N Independence Ave Ste 280, Oklahoma City, OK 73112-5555 | 2017-06-06 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1710393160 | Narisorn Atsava-svate | Internal Medicine | 3400 Nw Expressway Ste 700, Oklahoma City, OK 73112-4492 | 2014-07-07 |
| 1730515362 | Fazal Akbar Ali Md PC | Internal Medicine | 4221 S Western Ave Ste 5020, Oklahoma City, OK 73109-3445 | 2013-09-14 |
| 1902193865 | Andres Rodrigo Caero Romero | Internal Medicine | 2611 Crossroads Dr, Ardmore, OK 73401-2574 | 2011-06-29 |
| 1972740389 | Oklahoma Hypertension and Kidney Center, Plcc | Internal Medicine | 10203 S Canton Ave, Tulsa, OK 74137-6059 | 2009-01-08 |
| 1609030345 | Ahmad Bilal | Internal Medicine | 3366 Nw Expressway #730, Bldg D, Oklahoma City, OK 73112 | 2008-07-11 |
| 1861676736 | Salah Uddin | Internal Medicine | 1923 E 21st St Ste 200, Tulsa, OK 74114-1447 | 2007-12-27 |
| 1013040898 | Midwest Nephrology Associates PC | Internal Medicine | 1201 S Douglas Blvd Ste K, Midwest City, OK 73130-5263 | 2007-03-13 |
| 1417096629 | Muhammad Afzal | Internal Medicine | 6465 S Yale Ave Ste 804, Tulsa, OK 74136-7810 | 2007-02-05 |
| Find all providers with the same taxonomy | ||||
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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.