Individual provider Active NPI

Peter Phillip Studebaker, DO

  • Family Medicine Physician
  • Fort Sill, OK
National Provider Identifier
1770072605
Registry record updated May 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6827 Issued in OK
Practice address
4301 Wilson St
Rahc, Attn: Fires Clinic
Fort Sill, OK 73503
Phone
(580) 558-2000
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2026

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 6827 OK Primary

Addresses

Primary practice location

4301 Wilson St
Rahc, Attn: Fires Clinic
Fort Sill, OK 73503

Mailing address

4301 Wilson St
Attn: Fires Clinic
Fort Sill, OK 73503-4472
Phone (580) 558-8496

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
I20230317001434 OK Practitioner - Family Practice 5890027742 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6827OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tulsa Emergency Medical Center Inc CurrentSince Dec 2, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Oct 1, 2024 Accepting new patients
Medical Resource Management, LLC Family Medicine CurrentSince Dec 2, 2022 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

10701 N Rockwell Ave
Oklahoma City, OK 73162
Phone (405) 470-1500

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

2929 S Garnett Rd
Tulsa, OK 74129
Phone (918) 665-1520

Interoperability endpoints

  • Direct secure messaging: peter.studebakerdo.p8@direct.nextcare.nextgenshare.com
  • Direct secure messaging: peter.studebakerdo.p10@direct.nextcare.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780185600000",
    "number": "1770072605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "address_2": "ATTN: FIRES CLINIC",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "735034472",
            "telephone_number": "580-558-8496",
            "fax_number": "580-558-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WILSON ST",
            "address_2": "RAHC, ATTN: FIRES CLINIC",
            "city": "FORT SILL",
            "state": "OK",
            "postal_code": "73503",
            "telephone_number": "580-558-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUDEBAKER",
        "first_name": "PETER",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2026-05-31",
        "certification_date": "2026-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sill, OK

Sources for this page

Verify at the official NPI Registry.