Medicine Wheel Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

2982 Issued in OK

Legal business name

MEDICINE WHEEL INC

Doing business as

Milburn Family Medicine Clinic

Practice address

104 West F Street
Milburn, OK 73450

Phone

(580) 443-3533

Fax

(580) 443-3536

NPI assigned

Apr 1, 2011

Last updated

May 7, 2014By 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

Paul E Weathers, D.O.

Title

Medical Directer

Phone

(580) 443-3533

Specialties & licenses 2

Addresses

Other names 1

• Milburn Family Medicine Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassandra Sallee, PA-C

  • Physician Assistant
  • Milburn, OK
  • NPI 1538237094
  NPD (past)

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1598054330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67",
            "city": "MILBURN",
            "state": "OK",
            "postal_code": "734500067",
            "telephone_number": "508-443-3533",
            "fax_number": "580-443-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WEST F STREET",
            "city": "MILBURN",
            "state": "OK",
            "postal_code": "73450",
            "telephone_number": "580-443-3533",
            "fax_number": "580-443-3536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE WHEEL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "WEATHERS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTER",
        "authorized_official_telephone_number": "580-443-3533",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "2982",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "2982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Milburn Family Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Audra Collins
• Family Health Center of Southern Oklahoma Inc
• GKS Milburn Clinic LLC
• Rita Hart, MSW
• Leigh Isenberg
• Katy Lynn Mowdy
• Susan Deann Priddy, RN, WCC
• Cassandra Sallee, PA-C

• General Practice Physician in Milburn, OK
• Providers in Milburn, OK by specialty
• General Practice Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.