OB-GYN Care of Northwest Oklahoma

Primary specialty

SpecialistTaxonomy code 174400000X

License

24684 Issued in OK

Legal business name

OB-GYN CARE OF NORTHWEST OKLAHOMA

Doing business as

A Caring Place for Women

Practice address

1024 Main St
Woodward, OK 73801-3120

Phone

(580) 256-6000

Fax

(580) 256-6008

NPI assigned

Jul 26, 2006

Last updated

Jul 3, 2008By 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

Dr. Alan Marvin Wagner, M.D.

Title

Sole Proprietor

Phone

(580) 256-6000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• A CARING PLACE FOR WOMEN Doing business as

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1407879729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013120",
            "telephone_number": "580-256-6000",
            "fax_number": "580-256-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013120",
            "telephone_number": "580-256-6000",
            "fax_number": "580-256-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB-GYN CARE OF NORTHWEST OKLAHOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "580-256-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "24684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200073250A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "278469022001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A CARING PLACE FOR WOMEN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Northwest Domestic Crisis Services, Inc
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• Fernando Nunez
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• Ofelia Marin, Aprn, FNP-BC, LLC.
• Oklahoma Economic Development Authority
• Oklahoma's Action Rehabilitation Centers, Inc. (Oarc)
• Garrett Don Olive, D.D.S.
• Christyn Owen

• Specialist in Woodward, OK
• Providers in Woodward, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.