Organization Active NPI

Wood Family Medicine, P.C.

  • Primary Care Clinic/Center
  • Sallisaw, OK
National Provider Identifier
1740371558
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WOOD FAMILY MEDICINE, P.C.
Practice address
409 E Redwood Ave
Sallisaw, OK 74955-3018
Phone
(918) 775-3857
Fax
(918) 775-0587
NPI assigned
Sep 27, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Dr. William E Wood, MDNPI 1790792711
Title
Physician
Phone
(918) 775-3857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

409 E Redwood Ave
Sallisaw, OK 74955-3018

Mailing address

409 E Redwood Ave
Sallisaw, OK 74955-3018
Phone (918) 775-3857

Other identifiers 2

IdentifierTypeStateIssuer
200004670AMedicaidOK
248311603OtherOKOK BC/BS GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

409 E Redwood Ave
Sallisaw, OK 74955
Phone (918) 775-3857

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1740371558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749553018",
            "telephone_number": "918-775-3857",
            "fax_number": "918-775-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E REDWOOD AVE",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749553018",
            "telephone_number": "918-775-3857",
            "fax_number": "918-775-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-775-3857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200004670A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK BC/BS GROUP NUMBER",
            "identifier": "248311603",
            "state": "OK"
        }
    ],
    "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 Jun 21, 2018; 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.