Wagoner Mobility & Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WAGONER MOBILITY & MEDICAL

Practice address

30 Elm Dr
Pryor, OK 74361-4456

Phone

(918) 260-4687

Fax

(187) 735-2918

NPI assigned

Jan 31, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Brian Keith Stevens

Title

Manager

Phone

(918) 260-4687

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Daniel Chase, DPH

  • Pharmacist
  • Tulsa, OK
  • NPI 1215940846
  NPD (past)

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

{
    "created_epoch": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1740586395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 N NAVAJO ST",
            "city": "CHOUTEAU",
            "state": "OK",
            "postal_code": "743373700",
            "telephone_number": "918-527-6404",
            "fax_number": "187-735-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ELM DR",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614456",
            "telephone_number": "918-260-4687",
            "fax_number": "187-735-2918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGONER MOBILITY & MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-260-4687",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell Donovan Vo
• Delores Jane Voth, ARNP
• Stacie Vunetich, LMSW
• Bryon Keith Wade Jr.
• Abigail Wagnon
• Wal-Mart Stores East LP
• Walgreen Co
• Lori Beth Walker
• Justin Dale Wallace
• Lauren Walsh

• Durable Medical Equipment & Medical Supplies in Pryor, OK
• Providers in Pryor, OK by specialty
• Durable Medical Equipment & Medical Supplies in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.