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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Robert Eugene Vandiver II, P.A.

Physician Assistant in Wilburton, OK · enumerated 2007 · practices at Hussains Family Practice Rhc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417090770

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Registry record

Entity type Individual (Type 1)
Name Mr. Robert Eugene Vandiver II
Credential P.A.
Sex Male
Practice address 139 E Main St, Wilburton, OK, 74578
Fax (918) 465-3311
Enumeration date Feb 15, 2007
Last updated in NPPES Nov 12, 2007

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 527 (OK) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
1417090770 Other OK NPI

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What specialty is Robert Vandiver?
Robert Vandiver is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-11-12.