Family Care of Woodward

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

25220 Issued in OK

Legal business name

FAMILY CARE OF WOODWARD

Practice address

1611 Main St
Suite 203
Woodward, OK 73801-3021

Phone

(580) 256-2900

Fax

(580) 256-3900

NPI assigned

Sep 14, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Berdecia, MD-PHD

Title

Medical Director/Owner

Phone

(580) 256-2900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1265627087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 MAIN ST",
            "address_2": "SUITE 203",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013021",
            "telephone_number": "580-256-2900",
            "fax_number": "580-256-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 MAIN ST",
            "address_2": "SUITE 203",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013021",
            "telephone_number": "580-256-2900",
            "fax_number": "580-256-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE OF WOODWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "BERDECIA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "580-256-2900",
        "authorized_official_credential": "MD-PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "25220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Evans
• Emily Evans
• Sharon Evans
• Shannon Nevada Fairless, BSW, CMII
• Faith Over Fear Counseling LLC
• Family Care of Woodward LLC
• Ashley Diane Fanning, PT
• Taylor Farley, LPC
• L Ann Farrar, CRNA
• Cody Ferguson

• Clinic/Center in Woodward, OK
• Providers in Woodward, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.