Robert A Woodruff, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2209 Issued in OK

Practice address

311 W Main St
Wilburton, OK 74578-4047

Phone

(918) 465-0001

Fax

(918) 465-0003

NPI assigned

Jun 10, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassion Home Care, Inc. Home health agency, Stigler, OK, CCN 377740
• McAlester Regional Health Center Hospital, McAlester, OK, CCN 370034
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337
• Tidwell Living Center Nursing home, Wilburton, OK, CCN 375563

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodruff Family Medical Clinic, LLC

  • Family Medicine Physician
  • Wilburton, OK
  • NPI 1235570938
  Medicare reassignment NPD Authorized official
• Latimer Long Term Care LLC

  • Skilled Nursing Facility
  • Wilburton, OK
  • NPI 1568141208
  NPD (past)
• Tidwell Healthcare, LLC

  • Nursing Facility/Intermediate Care Facility
  • Wilburton, OK
  • NPI 1023430741
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassion Home Care, Inc.

  • Home Health Agency
  • Stigler, OK
  • NPI 1891920211
  Care Compare affiliation
• Leflore County Hospital Authority

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation
• McAlester Regional Health Center Authority

  • Rural Acute Care Hospital
  • McAlester, OK
  • NPI 1316940034
  Care Compare affiliation
• Tidwell Healthcare, LLC

  • Nursing Facility/Intermediate Care Facility
  • Wilburton, OK
  • NPI 1023430741

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1073554754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784047",
            "telephone_number": "918-465-0001",
            "fax_number": "918-465-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W MAIN ST",
            "city": "WILBURTON",
            "state": "OK",
            "postal_code": "745784047",
            "telephone_number": "918-465-0001",
            "fax_number": "918-465-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112520A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilburton Family Chiropractic
• Wilburton Family Dentistry, LLC
• Wilburton Family Medical Stephenie Ingram Aprn CNP PLLC
• Wilburton Public Schools
• Woodruff Family Medical Clinic, LLC
• Tabitha D Zurovetz, B.A.

• Family Medicine Physician in Wilburton, OK
• Providers in Wilburton, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.