Organization Active NPI

Wood Family Medical Clinic P C

  • Family Medicine Physician
  • Eufaula, OK
National Provider Identifier
1457532897
Registry record updated Sep 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3217 Issued in OK
Legal business name
WOOD FAMILY MEDICAL CLINIC P C
Practice address
136 W Foley St
Eufaula, OK 74432-2806
Phone
(918) 618-4000
Fax
(918) 689-5304
NPI assigned
Nov 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2008

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

Authorized official

Name
Janet Darlene Daniel
Title
Nurse
Phone
(918) 618-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3217 OK Primary

Addresses

Primary practice location

136 W Foley St
Eufaula, OK 74432-2806

Mailing address

PO Box 306
Eufaula, OK 74432-0306
Phone (918) 618-4000

National Provider Directory

National Provider Directory

Locations

312 N Main St
Eufaula, OK 74432
Phone (918) 618-4000

Practitioners & affiliated clinicians

Practitioners 1

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": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1457532897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744320306",
            "telephone_number": "918-618-4000",
            "fax_number": "918-689-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W FOLEY ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744322806",
            "telephone_number": "918-618-4000",
            "fax_number": "918-689-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD FAMILY MEDICAL CLINIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "DARLENE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "918-618-4000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3217",
            "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 Sep 12, 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.