Active NPI
Native Wound Therapy
- Medical Specialty Clinic/Center
- Muskogee, OK
National Provider Identifier
1184335945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- 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
- Dec 12, 2022
- Last updated
- Nov 3, 2025
- 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
- Joshua W Forrest
- Title
- Ceo
- Phone
- (918) 805-4885
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | |||
| Medical Specialty Clinic/Center | 261QM2500X | 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 practice location 1
345 High St NE Ste D
Warren, OH 44481-1248
Phone (918) 600-2701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201275340A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
345 High St NE
Ste D
Warren, OH 44481
Phone (918) 600-2701
7690 E 126th St S
Ste D
Bixby, OK 74008
Phone (918) 600-2701
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Muskogee, OK
- NPI 1932185212
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1629455449
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1760432686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1184335945",
"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": [
{
"address_1": "345 High St NE Ste D",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444811248",
"country_code": "US",
"telephone_number": "918-600-2701",
"fax_number": "539-390-3009",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIVE WOUND THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "FORREST",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "918-805-4885"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201275340A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.