Theodore Matt Ware, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

3516 Issued in OK

Practice address

12200 Rivendell Dr
Oklahoma City, OK 73170-4704

Phone

(405) 735-5677

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment NPD
• Oklahoma Emergency Services PC

  • Emergency Medicine Physician
  • Lawton, OK
  • NPI 1114239795
  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Lightstar Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Shawnee, OK
  • NPI 1396736872
  NPD (past)
• Cypress Emergency Associates PA

  • Emergency Medical Services (Emergency Medicine) Physician
  • Cypress, TX
  • NPI 1558446658
  NPD (past)
• Valley Emergency Physicians

  • Emergency Medicine Physician
  • Harlingen, TX
  • NPI 1699769513
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1417067794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 RIVENDELL DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704704",
            "telephone_number": "405-735-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 RIVENDELL DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704704",
            "telephone_number": "405-735-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARE",
        "first_name": "THEODORE",
        "middle_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "3516",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "37640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Lee Warden, D.PH.
• David Lee Warden Jr., PHARM.D.
• Christina Lan Caoile Wardhana, FNP-BC
• Jaimie Leigh Wardlaw, OTA/L
• Micqueal L Ware
• Tiffany Ware, ES,MS,LPC CANDIDATE
• Travis Ryan Warford, PA-C
• Katie Larue Warlick, D.D.S.
• Gary Hooper Warmack
• Bennett Lee Warman, LPN

• Emergency Medicine Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.