Woodward Family Medicine, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

23902 Issued in OK

Legal business name

WOODWARD FAMILY MEDICINE, PLLC

Practice address

1024 Main St
Woodward, OK 73801-3120

Phone

(580) 254-5353

Fax

(580) 254-5354

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Walter R Klassen, MDNPI 1326180084

Title

Owner

Phone

(580) 254-5353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15842/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Walter Ray Klassen, MD

  • Family Medicine Physician
  • Woodward, OK
  • NPI 1326180084
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1801175161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013120",
            "telephone_number": "580-254-5353",
            "fax_number": "580-254-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 MAIN ST",
            "city": "WOODWARD",
            "state": "OK",
            "postal_code": "738013120",
            "telephone_number": "580-254-5353",
            "fax_number": "580-254-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODWARD FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "KLASSEN",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-254-5353",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OK",
            "license": "23902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Woodard, PARA PROFFESIONAL
• Michael Woods, PHARMD
• Ray Woods
• Woodward Clinic Company, LLC
• Woodward County Emergency Medical Service
• Woodward Foot Clinic PLLC
• Woodward Health System LLC
• Woodward Health System LLC
• Woodward Health System LLC
• Woodward Health System LLC

• Primary Care Clinic/Center in Woodward, OK
• Providers in Woodward, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.