Active NPI
Robert B Lawson, DO
- Neonatal-Perinatal Medicine Physician
- Tulsa, OK
National Provider Identifier
1548247554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 2379
- Practice address
- 1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012 - Phone
- (918) 579-5402
- Fax
- (918) 579-5404
- NPI assigned
- Dec 30, 2005
- 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 |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 2379 | OK | Primary |
Addresses
Primary practice location
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012
Mailing address
1120 S Utica Ave
Suite 2123
Tulsa, OK 74104-4012
Phone (918) 579-5402
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160477901 | Medicaid | TX | |
| 209899905 | Medicaid | MO | |
| 133958003 | Medicaid | AR | |
| 100096210A | Medicaid | OK | |
| 100363140A | Medicaid | KS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2379 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1548247554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"address_2": "SUITE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-5402",
"fax_number": "918-579-5404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S UTICA AVE",
"address_2": "SUITE 2123",
"city": "TULSA",
"state": "OK",
"postal_code": "741044012",
"telephone_number": "918-579-5402",
"fax_number": "918-579-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWSON",
"first_name": "ROBERT",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "2379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "160477901",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209899905",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133958003",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100096210A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100363140A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}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 Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.