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

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, MD

Title

Physician Owner

Phone

(580) 243-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.