Individual provider Active NPI

Ronald G Woodson, MD

  • Cardiovascular Disease Physician
  • Lawton, OK
National Provider Identifier
1730133323
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
11832 Issued in OK
Practice address
3106 NW Arlington
Lawton, OK 73505
Phone
(580) 250-4278
Fax
(580) 581-1548
NPI assigned
May 19, 2006
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 11832 OK Primary

Addresses

Primary practice location

3106 NW Arlington
Lawton, OK 73505

Mailing address

3106 NW Arlington
Lawton, OK 73505
Phone (580) 250-4278

Other identifiers 1

IdentifierTypeStateIssuer
200069590AMedicaidOK

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
I20051208000202 OK Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527088525 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Oklahoma College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Cardiovascular Physicians LLCGroup PAC ID 3577730068, 116 clinicians

Practice addresses (Care Compare)

4221 S Western Ave
2010 Southwest CVC
Oklahoma City, OK 73109-3445
Phone (405) 644-5120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.7 of 100Reported as group
Quality
73.46
Promoting interoperability
100
Improvement activities
40
Cost
69.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11832OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital LLC Current Accepting new patients
Integris Cardiovascular Physicians LLC Cardiovascular Disease CurrentSince Jun 1, 2017 Accepting new patients
Community Hospital LLC Cardiovascular Disease CurrentSince Sep 1, 2017 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris South Oklahoma City Hospital Corporation Past Accepting new patients

Locations

3106 NW Arlington Ave
Lawton, OK 73505
Phone (580) 250-4278

3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255

5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700

5606 SW Lee Blvd
Ste 201
Lawton, OK 73505
Phone (580) 699-3000

1401 SW 34th St
Ste 320
Moore, OK 73160
Phone (405) 676-8083

3100 SW 89th St
Oklahoma City, OK 73159
Phone (405) 602-8100

3433 NW 56th St
Oklahoma City, OK 73112
Phone (405) 947-3341

4221 S Western Ave
Ste 2010
Oklahoma City, OK 73109
Phone (405) 231-0540

Interoperability endpoints

  • Direct secure messaging: rwoodson77961@direct.integrisok.com

Organizations & group practices 7

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

Hospital & facility affiliations 12

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1730133323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-250-4278",
            "fax_number": "580-581-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 NW ARLINGTON",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "73505",
            "telephone_number": "580-250-4278",
            "fax_number": "580-581-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OK",
            "license": "11832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.