Organization Active NPI

Robert J. Weedn, M.D., Inc.

  • Surgery Physician
  • Duncan, OK
National Provider Identifier
1801127154
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8843 Issued in OK
Legal business name
ROBERT J. WEEDN, M.D., INC.
Practice address
111 N 10TH St
Duncan, OK 73533-4667
Phone
(580) 255-9111
Fax
(580) 255-2246
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mrs. Linda K. Henderson
Title
Office Manager
Phone
(580) 255-9111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 8843 OK Primary

Addresses

Primary practice location

111 N 10TH St
Duncan, OK 73533-4667

Mailing address

111 N 10TH St
Duncan, OK 73533-4667
Phone (580) 255-9111

Other identifiers 3

IdentifierTypeStateIssuer
100104780AMedicaidOK
443409820001OtherOKBLUE CROSS BLUE SHIELD
022120752OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1403 N Whisenant Dr
Duncan, OK 73533
Phone (580) 255-9111

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1801127154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 10TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334667",
            "telephone_number": "580-255-9111",
            "fax_number": "580-255-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 10TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334667",
            "telephone_number": "580-255-9111",
            "fax_number": "580-255-2246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J. WEEDN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-255-9111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "8843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100104780A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "443409820001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "022120752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.