Western Oklahoma Urology PLLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

30463 Issued in OK

Legal business name

WESTERN OKLAHOMA UROLOGY PLLC

Practice address

1800 W 1St St
Suite 106
Elk City, OK 73644-3133

Phone

(580) 243-2200

Fax

(580) 243-0812

NPI assigned

Jul 15, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cole W Wootton, MDNPI 1881828556

Title

Physician Owner

Phone

(580) 243-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cole Wayne Wootton, MD

  • Urology Physician
  • Elk City, OK
  • NPI 1881828556
  Authorized official Same address or phone
• Aaron Rush Daugherty, APRN-CNP

  • Family Nurse Practitioner
  • Elk City, OK
  • NPI 1609409341
  NPD
• Tracy Elaine Lane, AGPCNP-CNP

  • Adult Health Nurse Practitioner
  • Hammon, OK
  • NPI 1073099503
  NPD

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1134536774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 106",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-2200",
            "fax_number": "580-243-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W 1ST ST",
            "address_2": "SUITE 106",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443133",
            "telephone_number": "580-243-2200",
            "fax_number": "580-243-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN OKLAHOMA UROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "WOOTTON",
        "authorized_official_first_name": "COLE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-243-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "30463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Wedel
• Westeren Gastrointeseinal Association
• Western Oklahoma Anesthesia Consultants PLLC
• Western Oklahoma ENT, PLLC
• Western Oklahoma Pain Specialists LLC
• Western Oklahoma Wellness LLC
• Whinery Family Medicine PLLC
• Royal Bradley Whinery, MD
• Bridget D White
• Maybelle S Whu, MD

• Urology Physician in Elk City, OK
• Providers in Elk City, OK by specialty
• Urology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.