Individual provider Active NPI

Nancy A Rogow, MANAGEMENT

  • Student in an Organized Health Care Education/Training Program
  • Sallisaw, OK
National Provider Identifier
1669714762
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1024 W Cherokee Ave
Sallisaw, OK 74955-4006
Phone
(918) 647-7829
Fax
(918) 654-3020
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1024 W Cherokee Ave
Sallisaw, OK 74955-4006

Mailing address

26256 Caughron Rd
Cameron, OK 74932-2376
Phone (918) 647-7829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wildhorse Family Practice & Urgent Care Past Accepting new patients
Wildhorse Family Practice & Urgent Care Inc PastSince Jul 16, 2014 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1669714762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26256 CAUGHRON RD",
            "city": "CAMERON",
            "state": "OK",
            "postal_code": "749322376",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 W CHEROKEE AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749554006",
            "telephone_number": "918-647-7829",
            "fax_number": "918-654-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOW",
        "first_name": "NANCY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MANAGEMENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sallisaw, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.