Skiatook Osteopathic Clinic, Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SKIATOOK OSTEOPATHIC CLINIC, INC

Practice address

201 E 2ND St
Pob 428
Skiatook, OK 74070-1211

Phone

(918) 396-1262

Fax

(918) 396-4598

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By 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. Rudolph Joseph Wolf, D. O.

Title

President

Phone

(918) 396-1262

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609081538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "address_2": "POB 428",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701211",
            "telephone_number": "918-396-1262",
            "fax_number": "918-396-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E 2ND ST",
            "address_2": "POB 428",
            "city": "SKIATOOK",
            "state": "OK",
            "postal_code": "740701211",
            "telephone_number": "918-396-1262",
            "fax_number": "918-396-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIATOOK OSTEOPATHIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-396-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568483758",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306856026",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• G. Meghan Sellmeyer, D.D.S
• Skiatook Family Dentistry
• Skiatook Fire Department
• Skiatook Medical LLC
• Skiatook Nursing Home, LLC
• Skiatook Public Schools
• Pedro M Soto, DDM
• Kimberly A Speaks, ARNP
• Celeste St. Gemme, DPT
• Stepping Stone Pediatric Therapy

• Primary Care Clinic/Center in Skiatook, OK
• Providers in Skiatook, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.