Active NPI
Ruth Ann Weesner, MD
- Pediatrics Physician
- Ada, OK
National Provider Identifier
1760565063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 16267
- Practice address
- 1414 Arlington St
Suite 1700
Ada, OK 74820-2643 - Phone
- (580) 333-7337
- Fax
- (580) 332-3881
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16267 | OK | Primary |
Addresses
Primary practice location
1414 Arlington St
Suite 1700
Ada, OK 74820-2643
Mailing address
1414 Arlington St
Suite 1700
Ada, OK 74820-2643
Phone (580) 333-7337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100130860B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1760565063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 ARLINGTON ST",
"address_2": "SUITE 1700",
"city": "ADA",
"state": "OK",
"postal_code": "748202643",
"telephone_number": "580-333-7337",
"fax_number": "580-332-3881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 ARLINGTON ST",
"address_2": "SUITE 1700",
"city": "ADA",
"state": "OK",
"postal_code": "748202643",
"telephone_number": "580-333-7337",
"fax_number": "580-332-3881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEESNER",
"first_name": "RUTH",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "16267",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100130860B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.