Individual provider Active NPI

Alvin Wong, MD

  • Family Medicine Physician
  • Stroud, OK
National Provider Identifier
1639738602
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34892 Issued in OK
Practice address
2308 W Highway 66
Stroud, OK 74079-6729
Phone
(918) 968-3571
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34892 OK Primary

Addresses

Primary practice location

2308 W Highway 66
Stroud, OK 74079-6729

Mailing address

2400 Watermark Blvd Apt 1212
Oklahoma City, OK 73134-5607
Phone (918) 282-2262

Other practice location 1

7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone (918) 710-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230629000533 OK Practitioner - General Practice 2466811120 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Wellness Stroud IncGroup PAC ID 7113310491, 5 clinicians
One Cura Family Clinic-Stroud, Inc.Group PAC ID 9032499231, 4 clinicians

Practice addresses (Care Compare)

2308 W Hwy 66
Stroud, OK 74079-6729
Phone (918) 968-4814

2308B W Hwy 66
Stroud, OK 74079-6729
Phone (918) 968-1642

Hospital & facility affiliations

  • Rural Wellness Stroud Hospital Hospital, Stroud, OK, CCN 371316
  • Rural Wellness Stroud Hospital Nursing home, CCN 37Z316

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
One Cura Family Clinic-Stroud, Inc. CurrentSince May 1, 2023 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Fairfax Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Anadarko Inc CurrentSince Apr 19, 2024 Accepting new patients
Rural Wellness Stroud Clinic Inc Family Medicine CurrentSince Sep 1, 2025 Accepting new patients
Rural Wellness Stroud Inc. Past Accepting new patients
St. John Physicians, Inc. Family Medicine Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

1002 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-2551

40 Hospital Rd
Fairfax, OK 74637
Phone (918) 642-8827

Dept 960617
Oklahoma City, OK 73196

Dep 960656
Oklahoma City, OK 73196

2308B W Highway 66
Stroud, OK 74079
Phone (918) 968-1642

2308 W Highway 66
#B
Stroud, OK 74079
Phone (918) 968-1642

2308 W Highway 66
Stroud, OK 74079
Phone (918) 968-3571

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1639738602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WATERMARK BLVD APT 1212",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731345607",
            "telephone_number": "918-282-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2308 W HIGHWAY 66",
            "city": "STROUD",
            "state": "OK",
            "postal_code": "740796729",
            "telephone_number": "918-968-3571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7501 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741365056",
            "country_code": "US",
            "telephone_number": "918-710-4200",
            "fax_number": "918-403-6311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "ALVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroud, OK

Sources for this page

Verify at the official NPI Registry.