Stephen W Woodson DO Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2123 Issued in OK

Legal business name

STEPHEN W WOODSON DO INC

Doing business as

Woodson Family Medical Clinic

Practice address

907 NW 5TH St
Stigler, OK 74462-1611

Phone

(918) 967-3355

Fax

(918) 967-8863

NPI assigned

Oct 2, 2006

Last updated

Feb 10, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen W Woodson, DONPI 1295734978

Title

Owner

Phone

(918) 967-3355

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Woodson Family Medical Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen W Woodson, D.O.

  • Family Medicine Physician
  • Stigler, OK
  • NPI 1295734978
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1912090762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744620480",
            "telephone_number": "918-967-3355",
            "fax_number": "918-967-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 NW 5TH ST",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744621611",
            "telephone_number": "918-967-3355",
            "fax_number": "918-967-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN W WOODSON DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "WOODSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-967-3355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080020414",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089460A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodson Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marla Serene Stephens
• Stigler Health and Wellness Center Inc (Hoover Drug)
• Stigler Health and Wellness Center Inc
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• Stigler Imaging, Infusion & Specialty Center Inc

• Family Medicine Physician in Stigler, OK
• Providers in Stigler, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.