Organization Active NPI

Eufaula Medicine PLLC

  • Emergency Medicine Physician
  • Eufaula, OK
National Provider Identifier
1316180664
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
EUFAULA MEDICINE PLLC
Practice address
1 Hospital Dr
Emergency Department
Eufaula, OK 74432-4010
Phone
(918) 689-2535
NPI assigned
Apr 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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

Authorized official

Name
Berry E Winn, M.D.NPI 1225028780
Title
Owner
Phone
(918) 781-9466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X OK Primary

Addresses

Primary practice location

1 Hospital Dr
Emergency Department
Eufaula, OK 74432-4010

Mailing address

211 S 36TH St
Suite F
Muskogee, OK 74401-5044
Phone (918) 781-9466

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1316180664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S 36TH ST",
            "address_2": "SUITE F",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015044",
            "telephone_number": "918-781-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744324010",
            "telephone_number": "918-689-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUFAULA MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "BERRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-781-9466",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.