Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043614878 Individual Practitioner Male Practitioner

Keith Michael Wear , MS, ATC, LAT

Contractor • Alva, OK

Professional Overview & Biography Verified Profile Summary

Keith Wear, MS, ATC, LAT is a registered healthcare professional specializing in Contractor in Alva, OK. Practice services are available at 709 OKLAHOMA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

709 Oklahoma Blvd

Alva, OK 737172749

Telephone 5803278627

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Alva, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 33.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Alva, OK (256 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-28
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License OK 904

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Brett Purnell , LAT, ATC

Specialist/Technologist - Athletic Trainer

NPI 1477287837

Licensed Athletic Trainer, Certified Athletic Trainer

Lacey Jones , ATC

Specialist/Technologist - Athletic Trainer

NPI 1598234783

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location June 28, 2023

Registered at 709 OKLAHOMA BLVD, ALVA, OK 737172749 (Tel: 5803278627)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2023

Contractor (License #904 in OK)

📍
Updated Business Mailing Address April 06, 2018

Registered at 524 MIMOSA DR, ALVA, OK 737173330 (Tel: 2085968864)

👤
Provider Name / Credentials Updated April 06, 2018

Recorded as KEITH WEAR, M.S., A.T.C., L.A.T.

NPI Profile Active October 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 22, 2014

Registered at 1100 HENDERSON ST, ARKADELPHIA, AR 719990001 (Tel: 8702305426)

📍
Updated Business Mailing Address October 22, 2014

Registered at 1306 CUTLER ST, ARKADELPHIA, AR 719236726 (Tel: 2085968864)

👤
Provider Name / Credentials Updated October 22, 2014

Recorded as KEITH WEAR, A.T.C.; L.A.T.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2014

Contractor (License #AT 612 in AR)

🟢
Initial NPI Registration & Enumeration October 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043614878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2014
Last Update: June 28, 2023
Sole Proprietor: Yes

Mailing Address

524 Mimosa Dr

Alva, OK 737173330

Phone: 2085968864

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.