NPIMap

Organization Active NPI

Wellston Family Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Wellston, OK
National Provider Identifier
1023348059
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R0080778 Issued in OK
Legal business name
WELLSTON FAMILY MEDICAL CLINIC, PLLC
Practice address
309 W. 2ND St.
Wellston, OK 74881
Phone
(405) 356-2998
Fax
(405) 258-0498
NPI assigned
Jan 14, 2010
Last updated
Jan 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Mrs. Sherry Diann Mitchell, FNP-BCNPI 1043466014
Title
Arnp
Phone
(405) 258-3971

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R0080778 OK Primary

Addresses

Primary practice location

309 W. 2ND St.
Wellston, OK 74881

Mailing address

PO Box 98
Wellston, OK 74881-0098
Phone (405) 356-2998

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1023348059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WELLSTON",
            "state": "OK",
            "postal_code": "748810098",
            "telephone_number": "405-356-2998",
            "fax_number": "405-258-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W. 2ND ST.",
            "city": "WELLSTON",
            "state": "OK",
            "postal_code": "74881",
            "telephone_number": "405-356-2998",
            "fax_number": "405-258-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTON FAMILY MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "DIANN",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "405-258-3971",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "R0080778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellston, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.