NPIMap

Individual provider Active NPI

Robyn Dawn Mangum, PA-C

  • Physician Assistant
  • Perry, OK
National Provider Identifier
1659558708
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1689 Issued in OK
Practice address
1318 Elm St
Perry, OK 73077-5034
Phone
(580) 336-9411
Fax
(580) 336-9422
NPI assigned
Jan 30, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1689 OK Primary

Addresses

Primary practice location

1318 Elm St
Perry, OK 73077-5034

Mailing address

1318 Elm St
Perry, OK 73077-5034
Phone (580) 336-9411

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080612000147 OK Practitioner - Physician Assistant 4385715770 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1689OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Physician Assistant Current Accepting new patients
Stillwater Medical Center Authority CurrentSince Jun 1, 2025 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Stillwater Medical Center Physicians Past Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients
Perry Memorial Hospital Authority Past Accepting new patients

Locations

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1412 Fir St
Perry, OK 73077
Phone (580) 336-3511

1318 Elm St
Perry, OK 73077
Phone (580) 336-3541

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

Interoperability endpoints

  • Direct secure messaging: robyn.mangum.1@9147.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: robyn.mangum.p1@direct.smc.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Medical Center Authority 155 clinicians
Select Physical Therapy Holdings Inc 1,992 clinicians

Practice addresses (Care Compare)

1016 Fir St
Perry, OK 73077-5053
Phone (405) 707-0900

1412 Fir St
Perry, OK 73077-5036
Phone (580) 336-9411

2230 N Perkins Rd
Stillwater, OK 74075-3076
Phone (405) 780-9919

413 N 7TH St
Perry, OK 73077-6407
Phone (580) 336-9953

501 N 14TH St
Perry Specialty Clinic
Perry, OK 73077-5021
Phone (580) 336-5577

505 N 14TH St
Perry Family Physicians
Perry, OK 73077-5021
Phone (580) 336-3537

Hospital & facility affiliations

  • Complete Home Health of Western Oklahoma Home health agency, Enid, OK, CCN 377167
  • Stillwater Medical - Perry Hospital, Perry, OK, CCN 370779
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414368000000",
    "number": "1659558708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 ELM ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775034",
            "telephone_number": "580-336-9411",
            "fax_number": "580-336-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 ELM ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775034",
            "telephone_number": "580-336-9411",
            "fax_number": "580-336-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "ROBYN",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2014-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

Verify at the official NPI Registry.