Newman Memorial Hospital, Inc
Organization Active NPI Clinic/Center · Woodward, OK
NPI 1083418784 · NPPES record last updated Apr 2, 2025
Key facts
- NPI
- 1083418784
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- NEWMAN MEMORIAL HOSPITAL, INC
- Practice address
- 1222 Main St
Woodward, OK 73801-3124 - Phone
- (580) 938-2551
- NPI assigned
- Apr 2, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- NEWMAN MEMORIAL HOSPITAL, INC
Authorized official
- Name
- Thomas Vasko
- Title
- Ceo
- Phone
- (580) 938-5504
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 6
Member organizations 1
Practitioners 4
-
Shandy Baggs, ARNP
-
Thomas F McGarry, M.D.
-
Zachary Daniel Zanowiak, M.D.
-
Joanna Elliott, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051122000749 | OK | Part B Supplier - Clinic/Group Practice | 2567482367 |
Receives reassigned benefits from 61 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Woodward, OK; Mooreland, OK; Shattuck, OK |
National Provider Directory
- Tax ID family
- Pharmacy
- Part of
- Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
1222 Main St
Woodward, OK 73801-3124
Mailing address
905 S Main St
Shattuck, OK 73858-9208
Phone (580) 938-2551
Other names
- Newman Healthcare Associates Woodward
Other providers in Woodward, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.