Robert G. Spencer MD PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23186 Issued in OK

Legal business name

ROBERT G. SPENCER MD PLLC

Practice address

203 N Weigle Ave
Watonga, OK 73772-3840

Phone

(580) 623-2233

Fax

(580) 623-2232

NPI assigned

Oct 2, 2006

Reactivated

Oct 28, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Gordon Spencer, MD

Title

Owner

Phone

(580) 623-2233

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerome Dario Aldo Dinan, PA-C

  • Physician Assistant
  • Watonga, OK
  • NPI 1821394461
  NPD (past)
• Marcia Kay Matthews, MD

  • Family Medicine Physician
  • Miami, OK
  • NPI 1427035419
  NPD (past)
• Robert E Peevy, PAC

  • Physician Assistant
  • Shawnee, OK
  • NPI 1114925245
  NPD (past)
• Julie Ann Sigl, PA-C

  • Physician Assistant
  • Healdton, OK
  • NPI 1558408138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1629161823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737720060",
            "telephone_number": "580-623-2233",
            "fax_number": "580-623-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N WEIGLE AVE",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723840",
            "telephone_number": "580-623-2233",
            "fax_number": "580-623-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. SPENCER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-12-20",
        "deactivation_date": "2008-07-25",
        "reactivation_date": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GORDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-623-2233",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007580D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Renee Perez, BSW, MS
• Tearesa Pexton
• Kimberly Ann Quintero, M.S., L.P.C.
• Richard Zielinski MD, PLLC
• Pamela D. Richey
• Shawn Robertson
• Donald L Runnels Jr.
• Jeffrey Lynn Russell, DPM
• Curtis Andrew Schenk, M.D.
• Seasha Me'Cole Schroeder

• Family Medicine Physician in Watonga, OK
• Providers in Watonga, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.

Verify at the official NPI Registry.