Active NPI
Robert James Lockwood, MD
- Family Medicine Physician
- Yukon, OK
National Provider Identifier
1265488829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21700
- Practice address
- 1820 Commons Circle
Suite a
Yukon, OK 73099 - Phone
- (405) 265-2778
- Fax
- (405) 494-7274
- NPI assigned
- May 25, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21700 | OK | Primary |
Addresses
Primary practice location
1820 Commons Circle
Suite a
Yukon, OK 73099
Mailing address
1820 Commons Circle
Suite a
Yukon, OK 73099
Phone (405) 265-2778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100107050A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 17, 2016 through Oct 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21700 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PHP Yukon LLC | Family Medicine | Current | Accepting new patients |
| PHP Yukon LLC | Family Medicine | Current | Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Lightstar Emergency Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- robert.lockwood@16094314627076.direct.elationemr.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Shawnee, OK
- NPI 1396736872
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454889600000",
"number": "1265488829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 COMMONS CIRCLE",
"address_2": "SUITE A",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-265-2778",
"fax_number": "405-494-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 COMMONS CIRCLE",
"address_2": "SUITE A",
"city": "YUKON",
"state": "OK",
"postal_code": "73099",
"telephone_number": "405-265-2778",
"fax_number": "405-494-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOCKWOOD",
"first_name": "ROBERT",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2016-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "21700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100107050A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yukon, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.