Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417090770 Individual Practitioner Male Practitioner

Robert Eugene Vandiver , PA

Physician Assistant • Wilburton, OK

Professional Overview & Biography Verified Profile Summary

Robert Vandiver, PA is a registered healthcare professional specializing in Physician Assistant in Wilburton, OK. Practice services are available at 139 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

139 E Main St

Wilburton, OK 745784229

Telephone 9184655727
Fax 9184653311
Associated Practice Facility / Clinic
🏢 Hussains Family Practice Rhc Facility NPI 1407971492

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wilburton, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Wilburton, OK (1911 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 527

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1417090770 (OK)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 12, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 12, 2007

Registered at 139 E MAIN ST, WILBURTON, OK 745784229 (Tel: 9184655727)

📍
Updated Business Mailing Address November 12, 2007

Registered at 139 E MAIN ST, WILBURTON, OK 745784229 (Tel: 9184655727)

👤
Provider Name / Credentials Updated November 12, 2007

Recorded as ROBERT VANDIVER, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2007

Physician Assistant (License #527 in OK)

🟢
Initial NPI Registration & Enumeration February 15, 2007

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: 1417090770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2007
Last Update: November 12, 2007
Sole Proprietor: No

Mailing Address

139 E Main St

Wilburton, OK 745784229

Phone: 9184655727

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.