Individual provider Active NPI

Robert Gordon Spencer, MD

  • Family Medicine Physician
  • Watonga, OK
National Provider Identifier
1639180318
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23186 Issued in OK
Practice address
203 N Weigle Ave
Watonga, OK 73772-3840
Phone
(580) 623-2233
Fax
(580) 623-2232
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23186 OK Primary

Addresses

Primary practice location

203 N Weigle Ave
Watonga, OK 73772-3840

Mailing address

203 N Weigle Ave
Watonga, OK 73772-3840
Phone (580) 623-2233

Other identifiers 1

IdentifierTypeStateIssuer
200007580DMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050827000025 OK Practitioner - Family PracticePractitioner - Emergency Medicine 4284679184 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Physicians Group, LLCGroup PAC ID 8325950603, 107 clinicians

Practice addresses (Care Compare)

10021 S Western Ave
Oklahoma City, OK 73139-2927
Phone (405) 692-9300

1616 S Kelly Ave
Edmond, OK 73013-3651
Phone (405) 330-0032

800 W 18TH St
Suite 100
Edmond, OK 73013-3759
Phone (405) 849-9772

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Regional Medical Center Authority Current Accepting new patients
Mercy Clinic Oklahoma Communities Family Medicine CurrentSince Jan 15, 2014 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Jul 1, 2013 Accepting new patients
The Physicians Group LLC Family Medicine CurrentSince Oct 1, 2022 Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jefferson County Healthcare Authority Family Medicine Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients

Locations

1900 E 15th St
Ste C
Edmond, OK 73013

523 E State Rd
Fairview, OK 73737
Phone (580) 227-1334

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

10021 S Western Ave
Oklahoma City, OK 73139
Phone (405) 692-9300

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

203 N Weigle Ave
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1639180318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "SPENCER",
        "first_name": "ROBERT",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007580D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watonga, OK

Sources for this page

Verify at the official NPI Registry.