Active NPI
Robert Gordon Spencer, MD
- Family Medicine Physician
- Watonga, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23186
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200007580D | Medicaid | OK |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Regional Medical Center Authority | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospital Watonga Inc | Current | Accepting new patients | |
| The Physicians Group LLC | Family Medicine | Current | 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.
-
- General Practice Physician
- Oklahoma City, OK
- NPI 1487620381
Family Medicine
-
- Critical Access Hospital
- Fairview, OK
- NPI 1033153309
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Critical Access Hospital
- Waurika, OK
- NPI 1144245655
Family Medicine
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
-
- Ambulance
- Watonga, OK
- NPI 1528215886
-
- General Acute Care Hospital
- Watonga, OK
- NPI 1578555777
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watonga, OK
- NPI 1497017529
-
- Medicare Defined Swing Bed Hospital Unit
- Watonga, OK
- NPI 1801158522
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.