Active NPI
Robert W. Dow, M.D.
- Neurology Physician
- Norman, OK
National Provider Identifier
1619969409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 17235
- Practice address
- 700 NW 24TH Ave
Norman, OK 73069-6400 - Phone
- (405) 573-5410
- Fax
- (405) 573-5446
- NPI assigned
- Aug 17, 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 17235 | OK | Primary |
Addresses
Primary practice location
700 NW 24TH Ave
Norman, OK 73069-6400
Mailing address
5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (405) 945-4886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4234662 | Other | OK | AETNA EDI |
| 100105440A | Medicaid | OK | |
| 130007357 | Other | OK | RAILROAD MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17235 | OK | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404691200000",
"number": "1619969409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE",
"address_2": "280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125556",
"telephone_number": "405-945-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 NW 24TH AVE",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696400",
"telephone_number": "405-573-5410",
"fax_number": "405-573-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOW",
"first_name": "ROBERT",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-17",
"last_updated": "2014-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OK",
"license": "17235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA EDI",
"identifier": "4234662",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100105440A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130007357",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.