Active NPI
Robin Lindell Stevenson, MD
- Obstetrics & Gynecology Physician
- Colcord, OK
National Provider Identifier
1609811801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 12183
- Practice address
- 2230 US Hwy 412
Colcord, OK 74338-4168 - Phone
- (918) 422-5750
- Fax
- (918) 422-4351
- NPI assigned
- Jun 19, 2006
- Last updated
- Mar 2, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 12183 | OK | Primary |
Addresses
Primary practice location
2230 US Hwy 412
Colcord, OK 74338-4168
Mailing address
100 Remington PL
Tahlequah, OK 74464-4168
Phone (918) 457-9017
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488412800000",
"number": "1609811801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 REMINGTON PL",
"city": "TAHLEQUAH",
"state": "OK",
"postal_code": "744644168",
"telephone_number": "918-457-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 US HWY 412",
"city": "COLCORD",
"state": "OK",
"postal_code": "743384168",
"telephone_number": "918-422-5750",
"fax_number": "918-422-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "ROBIN",
"middle_name": "LINDELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2017-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "12183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colcord, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.