Agape' Wellness Center & Wound Care, LLC
Organization Active NPI Family Medicine Physician · Estate Clifton Hill, VI
NPI 1750429148 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1750429148
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 23898 (OK)
- Legal business name
- AGAPE' WELLNESS CENTER & WOUND CARE, LLC
- Practice address
- 5401 Eddie Ortiz Drive
Estate Clifton Hill, VI 00850 - Phone
- (340) 778-1932
- Fax
- (340) 778-1935
- NPI assigned
- Feb 1, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Hubert H Watty, M.D
- Title
- Owner / Manager
- Phone
- (918) 869-3466
Practitioners 2
-
Hubert H. Watty, M.D.
-
Karen S. Doney, LCSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190314002493 | VI | Part B Supplier - Clinic/Group Practice | 4688699705 |
Receives reassigned benefits from 1 practitioner Practice locations: Kingshill, VI |
National Provider Directory
Locations
202 N 37th St
Muskogee, OK 74401
Phone (918) 681-4400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 23898 | OK | Yes |
Addresses
Primary practice location
5401 Eddie Ortiz Drive
Estate Clifton Hill, VI 00850
Mailing address
9281 Clifton HL
Kingshill, VI 00850-9640
Phone (340) 778-1932
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.