Wellness Center of Southern Oklahoma, Inc

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC

Practice address

1001 15TH Ave NW
Ardmore, OK 73401-1803

Phone

(580) 223-3737

Fax

(580) 223-4801

NPI assigned

Sep 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Baker Fore, D.O.

Title

Doctor

Phone

(580) 223-3737

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1871843920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011803",
            "telephone_number": "580-223-3737",
            "fax_number": "580-223-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 15TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011803",
            "telephone_number": "580-223-3737",
            "fax_number": "580-223-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER OF SOUTHERN OKLAHOMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-17",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "FORE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "BAKER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "580-223-3737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Way, ARNP
• Bradley Wayne Welch, BS, RVT, RDCS
• Garrett Bradley Welch
• McKinley S Welch
• Kaylyn Dawn Weldon Gary
• Brad Allan Wells, M.ED CCC-SLP
• Charla Danielle Wells, LPN
• Wadonna Wells, LADC
• Shelby Wesley
• Tammy Marie West, MS

• Pain Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Pain Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.