Organization Active NPI

Mary E. Weare, M.D., PLLC

  • Psychiatry Physician
  • Bartlesville, OK
National Provider Identifier
1447550827
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
13446 Issued in OK
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

Updated by the provider on Nov 1, 2010

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100209770AMedicaidOK

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.