Active NPI
Mary E. Weare, M.D., PLLC
- Psychiatry Physician
- Bartlesville, OK
National Provider Identifier
1447550827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 13446
- Legal business name
- MARY E. WEARE, M.D., PLLC
- Practice address
- 300 S Wyandotte Ave
Bartlesville, OK 74003-4038 - Phone
- (918) 336-3277
- Fax
- (918) 336-0178
- NPI assigned
- Nov 1, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary E Weare, M.D.
- Title
- Owner
- Phone
- (918) 336-3277
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 13446 | OK | Primary |
Addresses
Primary practice location
300 S Wyandotte Ave
Bartlesville, OK 74003-4038
Mailing address
300 S Wyandotte Ave
Bartlesville, OK 74003-4038
Phone (918) 336-3277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100209770A | Medicaid | OK |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288569600000",
"number": "1447550827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S WYANDOTTE AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740034038",
"telephone_number": "918-336-3277",
"fax_number": "918-336-0178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S WYANDOTTE AVE",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740034038",
"telephone_number": "918-336-3277",
"fax_number": "918-336-0178"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY E. WEARE, M.D., PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A",
"authorized_official_last_name": "WEARE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "918-336-3277",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "13446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100209770A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.