Organization Active NPI

Recenter Medical LLC

  • Family Medicine Physician
  • Yukon, OK
National Provider Identifier
1942198189
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RECENTER MEDICAL LLC
Practice address
1728 Professional Cir
Yukon, OK 73099-6470
Phone
(405) 265-2733
Fax
(405) 265-2926
NPI assigned
Jun 26, 2025
Last updated
Mar 19, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WOLF CREEK MANAGEMENTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Kimberly K Myers
Title
Manager
Phone
(405) 506-9101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1728 Professional Cir
Yukon, OK 73099-6470

Mailing address

18609 Wolf Creek Dr
Edmond, OK 73012-4100
Phone (405) 664-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251229002027 OK Part B Supplier - Clinic/Group Practice 2860988920 Receives reassigned benefits from 3 practitioners
Practice locations: Yukon, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1942198189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18609 WOLF CREEK DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730124100",
            "telephone_number": "405-664-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 PROFESSIONAL CIR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996470",
            "telephone_number": "405-265-2733",
            "fax_number": "405-265-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECENTER MEDICAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOLF CREEK MANAGEMENT",
        "enumeration_date": "2025-06-26",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-506-9101"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.