NPIMap

Organization Active NPI

Rowland Flatt Clinic

  • Medical Specialty Clinic/Center
  • Antlers, OK
National Provider Identifier
1013908441
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
ROWLAND FLATT CLINIC
Practice address
603 NE 2ND St
Antlers, OK 74523-2636
Phone
(580) 298-3351
Fax
(580) 298-6137
NPI assigned
Nov 3, 2005
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Teddy R. Rowland, MDNPI 1922099860
Title
Owner/Partner
Phone
(580) 326-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Medical Specialty Clinic/Center 261QM2500X Primary
Rural Health Clinic/Center 261QR1300X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

603 NE 2ND St
Antlers, OK 74523-2636

Mailing address

603 NE 2ND St
Antlers, OK 74523-2636
Phone (580) 298-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040430000096 OK Part B Supplier - Clinic/Group Practice 9830186824 Receives reassigned benefits from 15 practitioners
Practice locations: Antlers, OK; Atoka, OK; Hugo, OK
O20160811000924 OK Part A Provider - Rural Health Clinic 9830186824 Practice locations: Antlers, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013908441. Details of each certification follow.

Rural health clinic certification: CCN 373881

Legal name
ROWLAND FLATT CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 7, 2017
Last certification
May 14, 2021
Ownership / control type
1C
Organization structure
PartnershipProprietary
Enrollment address
603 NE 2ND St
Antlers, OK 74523-2636

National Provider Directory

National Provider Directory

Locations

601 NE 2ND St
Antlers, OK 74523

204 N 12th St
Hugo, OK 74743
Phone (580) 326-6423

3817 N West Expy
Ste 300
Oklahoma City, OK 73112

1400 S Boston Ave
Tulsa, OK 74119

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Teddy R Rowland Individual 5% Or Greater Direct Ownership Interest Jan 11, 1995 50%
General Partnership InterestOwner/Partner Jan 11, 1995 50%
Victoria Pardue Individual 5% Or Greater Direct Ownership Interest Jan 11, 1995 50%
General Partnership InterestOwner/Partner Jan 11, 1995 50%
Operational/Managerial ControlMedical Director Jan 11, 1995 50%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1013908441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NE 2ND ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232636",
            "telephone_number": "580-298-3351",
            "fax_number": "580-298-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NE 2ND ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745232636",
            "telephone_number": "580-298-3351",
            "fax_number": "580-298-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWLAND FLATT CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "TEDDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "580-326-6423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antlers, OK

Sources for this page

Verify at the official NPI Registry.