Clifford Grover Wlodaver, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

13905 Issued in OK

Practice address

8121 National Ave
Ste 310
Midwest City, OK 73110-7530

Phone

(405) 737-3100

Fax

(405) 737-3109

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal MedicineAlso: Infectious Disease

Education

JS Weill Medical College, Cornell University, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwlodave@yourcarecommunity.org
• Direct secure messaging: cwlodaver193019@direct-ehr-ssmhc.com

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.

• Clifford G. Wlodaver M.D., P.C.

  • Infectious Disease Physician
  • Midwest City, OK
  • NPI 1932319548
  Medicare reassignment NPD Authorized official
• Aline Brown M D P C

  • Infectious Disease Physician
  • Oklahoma City, OK
  • NPI 1629288980
  NPD (past)
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

• SSM Health Care of Oklahoma, Inc

  • Ambulance
  • Midwest City, OK
  • NPI 1023603727

  Hospital

  Care Compare affiliation
• SSM Health Care of Oklahoma, Inc

  • General Acute Care Hospital
  • Midwest City, OK
  • NPI 1700471497
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1689638975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "STE 310",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-737-3100",
            "fax_number": "405-737-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "STE 310",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-737-3100",
            "fax_number": "405-737-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLODAVER",
        "first_name": "CLIFFORD",
        "middle_name": "GROVER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "13905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100006140C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Sue Windsor, DDS
• Nathan L Wineberry
• Sandra Kay Wineberry
• Peter George Wipfli, CRNA
• Andrea E Wismann, M.D.
• Woko PLLC
• Amberly Wood
• Audrey D Woodard, MSW
• Carlos Ferand Woodard Sr., LPC
• Taylor Racquel Woodard

• Infectious Disease Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Infectious Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.

Verify at the official NPI Registry.