MEDICARE: DR. ROBIN J ELWOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	15975	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	043706257	OTHER	OK	TRICARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	611930400	OTHER	OK	DEPT OF LABOR

General Provider Information

NPI Number	:	1942271408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBIN J ELWOOD MD

Provider Business Mailing Address
First Line	:	750 NE 13TH ST
Second Line	:	OAC 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5010
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	750 NE 13TH ST
Second Line	:	OAC 200
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5010
Country	:	US
Telephone Number	:	405-271-4351
Fax Number	:	405-271-8695

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	03/11/2011

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Directions to “ DR. ROBIN J ELWOOD MD” Practice Location

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