Individual provider Active NPI

Robert William Worden, D.O.

  • Emergency Medicine Physician
  • Crescent, OK
National Provider Identifier
1447459359
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4572 Issued in OK
Practice address
315 South Grand
# 542
Crescent, OK 73028-0542
Phone
(405) 636-7195
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4572 OK Primary

Addresses

Primary practice location

315 South Grand
# 542
Crescent, OK 73028-0542

Mailing address

315 South Grand
Crescent, OK 73028-0542
Phone (405) 636-7195

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071012000200 OK Practitioner - Emergency Medicine 9032205646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of Oklahoma TCS LLCGroup PAC ID 7315315454, 17 clinicians

Practice addresses (Care Compare)

305 S 5TH St
St Marys Regional Medical Center
Enid, OK 73701-5832
Phone (580) 233-6100

Hospital & facility affiliations

  • St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Health Woodward Hospital Hospital, Woodward, OK, CCN 370002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Oklahoma TCS LLC Emergency Medicine CurrentSince Oct 21, 2024 Accepting new patients
Ehp of Ponca City LLC Emergency Medicine CurrentSince Dec 15, 2024 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Uhs of Oklahoma, LLC Past Accepting new patients
Lightstar Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Morningstar Emergency Physicians PLLC Emergency Medicine Past Accepting new patients

Locations

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1447459359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SOUTH GRAND",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "730280542",
            "telephone_number": "405-636-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 SOUTH GRAND",
            "address_2": "# 542",
            "city": "CRESCENT",
            "state": "OK",
            "postal_code": "730280542",
            "telephone_number": "405-636-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORDEN",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent, OK

Sources for this page

Verify at the official NPI Registry.