Active NPI
Robert L. Archer, DO
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oklahoma City, OK
National Provider Identifier
1194894915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 1962
- Practice address
- 4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445 - Phone
- (405) 644-5120
- Fax
- (405) 644-5309
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 1962 | OK | Primary |
Addresses
Primary practice location
4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445
Mailing address
4221 S Western Ave Ste 2010
Oklahoma City, OK 73109-3445
Phone (405) 644-5120
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 Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1194894915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4221 S WESTERN AVE STE 2010",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093445",
"telephone_number": "405-644-5120",
"fax_number": "405-644-5309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4221 S WESTERN AVE STE 2010",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093445",
"telephone_number": "405-644-5120",
"fax_number": "405-644-5309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHER",
"first_name": "ROBERT",
"middle_name": "L.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "OK",
"license": "1962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.