Wheatheart Medical Center, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

103267 Issued in OK

Legal business name

WHEATHEART MEDICAL CENTER, INC.

Practice address

600 E Grand Ave Ste 2
Tonkawa, OK 74653-3559

Phone

(580) 628-2557

Fax

(580) 629-2132

NPI assigned

Jul 6, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Jenna-Lyn Klufa, APRN

Title

Aprn

Phone

(580) 304-3093

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• R Walcher MD Other name

Locations

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184145690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E GRAND AVE STE 2",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533559",
            "telephone_number": "580-628-2557",
            "fax_number": "580-629-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E GRAND AVE STE 2",
            "city": "TONKAWA",
            "state": "OK",
            "postal_code": "746533559",
            "telephone_number": "580-628-2557",
            "fax_number": "580-629-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATHEART MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KLUFA",
        "authorized_official_first_name": "JENNA-LYN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "580-304-3093",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "103267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200269930A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689890",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R Walcher MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "R Walcher MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Willie J Street, P.A.-C
• Tonkawa Healthcare Systems PC
• Tonkawa Public Schools
• Tonkawa SNF Behavioral Health LLC
• Ronald R Walcher, MD

• Primary Care Clinic/Center in Tonkawa, OK
• Providers in Tonkawa, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.