NPIMap

Organization Active NPI

Tricities Medical & Surgical

  • Legal Medicine
  • Wewoka, OK
National Provider Identifier
1245353713
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
TRICITIES MEDICAL & SURGICAL
Practice address
1509 S Indian Rd
Wewoka, OK 74884-9781
Phone
(405) 257-6272
Fax
(405) 257-6273
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Ms. Linda Sue Madron
Title
Clinic Manager
Phone
(405) 257-6272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

1509 S Indian Rd
Wewoka, OK 74884-9781

Mailing address

PO Box 1221
Wewoka, OK 74884-1221
Phone (405) 257-6272

Other identifiers 4

IdentifierTypeStateIssuer
100737390AMedicaidOK
200037050AMedicaidOK
1902885817OtherOKNPI FOR TRUDI FREELAND
200007490AMedicaidOK

National Provider Directory

National Provider Directory

Locations

1509 S Indian Rd
Wewoka, OK 74884
Phone (405) 257-6272

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1245353713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748841221",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 S INDIAN RD",
            "city": "WEWOKA",
            "state": "OK",
            "postal_code": "748849781",
            "telephone_number": "405-257-6272",
            "fax_number": "405-257-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICITIES MEDICAL & SURGICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "MADRON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "405-257-6272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100737390A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037050A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR TRUDI FREELAND",
            "identifier": "1902885817",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007490A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wewoka, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.