Individual provider Active NPI

Maybelle S Whu, MD

  • Emergency Medicine Physician
  • Elk City, OK
National Provider Identifier
1114959905
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P1837 Issued in TX
Practice address
1705 W 2ND St
Elk City, OK 73644-4455
Phone
(580) 225-2511
Fax
(580) 821-5524
NPI assigned
Jul 6, 2006
Last updated
Aug 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25964 OK
Emergency Medicine Physician 207P00000X P1837 TX Primary
Family Medicine Physician 207Q00000X MD055963L PA
Family Medicine Physician 207Q00000X P1837 TX

Addresses

Primary practice location

1705 W 2ND St
Elk City, OK 73644-4455

Mailing address

PO Box 2467
Elk City, OK 73648-2467
Phone (580) 303-4664

Other identifiers 2

IdentifierTypeStateIssuer
P01311906OtherTXRAILROAD MEDICARE
903395OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25964OKMDEmergency Medicine Physician
MD055963LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Artesia General Hospital Past Accepting new patients
Texas Emergency Room Services, PA Emergency Medicine Past Accepting new patients
Steel Valley Emergency Physicians, LLC Emergency Medicine PastSince Apr 14, 2026 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1114959905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2467",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736482467",
            "telephone_number": "580-303-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 2ND ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444455",
            "telephone_number": "580-225-2511",
            "fax_number": "580-821-5524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHU",
        "first_name": "MAYBELLE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "25964",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P1837",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD055963L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P1837",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01311906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "903395",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.