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Keith Michael Wear , MS, ATC, LAT

Contractor β€’ Alva, OK

Active NPI 1043614878 Individual Practitioner Male Practitioner
Practice location in NPPES

709 Oklahoma Blvd
Alva, OK 737172749

Call 5803278627 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

709 Oklahoma Blvd

Alva, OK 737172749

Telephone 5803278627

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Alva and Oklahoma

1 active clinicians are listed under Contractor with a practice address in Alva, OK (238 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-28
Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

License # reported to NPPES 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).

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Gwyneth Holderby , DNP

Nurse Practitioner - Family

NPI 1124447305

Doctor of Nursing Practice

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 28, 2023

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

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

Contractor (license number reported to NPPES: OK 904)

πŸ“
Updated Business Mailing Address April 06, 2018

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

πŸ‘€
Provider Name / Credentials Updated April 06, 2018

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

βœ…
NPI Profile Active October 22, 2014

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2014

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

πŸ“
Business Mailing Address (Initial Record) October 22, 2014

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

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2014

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

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

Contractor (license number reported to NPPES: AR AT 612)

🟒
Initial NPI Registration & Enumeration October 22, 2014

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.