Active NPI
Robert E Woodard, PH.D.
- Audiologist
- Tulsa, OK
National Provider Identifier
1316012230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A251
- Practice address
- 5105 S Sheridan Rd
Tulsa, OK 74145-7627 - Phone
- (918) 712-9990
- Fax
- (918) 712-9390
- NPI assigned
- Nov 24, 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | A251 | OK | Primary |
Addresses
Primary practice location
5105 S Sheridan Rd
Tulsa, OK 74145-7627
Mailing address
5105 S Sheridan Rd
Tulsa, OK 74145-7627
Phone (918) 712-9990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S731528411 | Medicaid | OK |
Other names 1
- Gene Woodard
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251 | OK | MD | Registered Dietitian |
| A251 | OK | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1316012230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5105 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741457627",
"telephone_number": "918-712-9990",
"fax_number": "918-712-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5105 S SHERIDAN RD",
"city": "TULSA",
"state": "OK",
"postal_code": "741457627",
"telephone_number": "918-712-9990",
"fax_number": "918-712-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODARD",
"first_name": "ROBERT",
"middle_name": "E",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "OK",
"license": "A251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "S731528411",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GENE",
"last_name": "WOODARD",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.