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MR. ROBERT EUGENE VANDIVER II P.A.
NPI 1417090770
Physician Assistant in Wilburton, OK

Active since February 15, 2007
139 E MAIN ST, WILBURTON, OK 74578(918) 465-5727(918) 465-3311 Get Directions Write a Review

NPPES record last updated: November 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Robert Eugene Vandiver Ii P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT EUGENE VANDIVER II P.A. (NPI 1417090770) is an individual physician assistant in Wilburton, Oklahoma, licensed in Oklahoma (527) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1417090770
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT EUGENE VANDIVER IICredential: P.A.
Location Address139 E MAIN STWilburton, OK 74578-4229
Mailing Address139 E Main StWilburton, OK 74578-4229 · (918) 465-5727 · Fax (918) 465-3311
Phone(918) 465-5727
Fax(918) 465-3311
Sole ProprietorNo
Enumeration DateFebruary 15, 2007
Last NPPES UpdateNovember 12, 2007
✔ NPI 1417090770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 527
Definition
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.
139 E MAIN ST, Wilburton, OK 74578
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Other Identifiers 2

Medicare OSCAR/certification373876OK
Other1417090770OK · Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HUSSAINS FAMILY PRACTICE RHC
Nurse Practitioner (Adult Health)
139 E MAIN ST
WILBURTON, OK 74578
Latimer County (918) 465-5727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Vandiver's NPI number?

The NPI number for Robert Vandiver is 1417090770. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Robert Vandiver located?

Robert Vandiver practices at 139 E Main St, Wilburton, OK 74578. The listed phone number is (918) 465-5727.

What is Robert Vandiver's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Robert Vandiver was last updated on November 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.