Robert A Wieck, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2762 Issued in OK

Practice address

1509 S Indian Rd
Wewoka, OK 74884-9781

Phone

(405) 257-6272

Fax

(405) 257-6273

NPI assigned

Oct 12, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Family PracticeAlso: Emergency Medicine, Internal Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of Mid-America PCGroup PAC ID 2062638661, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Anthony Hospital - Shawnee Hospital, Shawnee, OK, CCN 370149
• SSM Health St Anthony Hospital - Midwest Hospital, Midwest City, OK, CCN 370094

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rwieck36989@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.

• Emergency Physicians of Mid-America, P.C.

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1063825297
  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  Family Medicine

  Medicare reassignment NPD
• Emergency Physicians of Midwest City, LLC

  • Emergency Medicine Physician
  • Oklahoma City, OK
  • NPI 1558386474
  Medicare reassignment NPD
• Midwest Hospitalist Group PLLC

  • Internal Medicine Physician
  • Edmond, OK
  • NPI 1376011478
  Medicare reassignment NPD
• Wieck Medical Management PC

  • Family Medicine Physician
  • Seminole, OK
  • NPI 1720145584
  NPD (past) Authorized official
• Creek Nation Hospital & Clinics

  • Rehabilitation Hospital
  • Okmulgee, OK
  • NPI 1891197224
  NPD
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764
  NPD
• Hughes Emergency Physicians

  • Emergency Medicine Physician
  • Holdenville, OK
  • NPI 1578513495
  NPD (past)
• Oklahoma Cardiovascular Associates, PC

  • Cardiovascular Disease Physician
  • Oklahoma City, OK
  • NPI 1598759730
  NPD (past)
• Saints Medical Group, LLC

  • Family Medicine Physician
  • Wewoka, OK
  • NPI 1356676050
  NPD (past)
• Seminole Health Center LLC

  • Medicare Defined Swing Bed Hospital Unit
  • Seminole, OK
  • NPI 1144278920
  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
• St Anthony Shawnee Hospital Inc

  • General Acute Care Hospital
  • Shawnee, OK
  • NPI 1134123193
  Care Compare affiliation

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1972591980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248865",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731248865",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S INDIAN RD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748849781",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECK",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2762",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "2762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wewoka Healthcare Center LLC
• Wewoka IHS Pharmacy
• Wewoka Indian Health
• Wewoka Nursing Home Inc
• Wewoka Regional Medical Center
• Lindsey Delaney Williams
• Tina Williams
• Tracy S Williams, APN
• Phillip Wilson, DDS
• Richard Dean Yahola

• Emergency Medicine Physician in Wewoka, OK
• Providers in Wewoka, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.