Active NPI
Native Wound Therapy
- General Practice Physician
- Muskogee, OK
National Provider Identifier
1104762277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- NATIVE WOUND THERAPY
- Practice address
- 201 S 36TH St
Muskogee, OK 74401-5079 - Phone
- (918) 600-2701
- Fax
- (539) 390-3009
- NPI assigned
- Apr 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Rae Thompson
- Title
- Chief Financial Officer
- Phone
- (918) 571-2499
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
201 S 36TH St
Muskogee, OK 74401-5079
Mailing address
201 S 36TH St
Muskogee, OK 74401-5079
Phone (918) 600-2701
Other names 1
- Fast Track Medical
National Provider Directory
National Provider Directory- Tax ID family
- Fast Track Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Muskogee, OK
- NPI 1558219220
Locations
201 S 36th St
Muskogee, OK 74401
Phone (918) 600-2701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777334400000",
"number": "1104762277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 S 36TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015079",
"telephone_number": "918-600-2701",
"fax_number": "539-390-3009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 36TH ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744015079",
"telephone_number": "918-600-2701",
"fax_number": "539-390-3009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIVE WOUND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-28",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "918-571-2499"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fast Track Medical",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.