Active NPI
Recenter Medical LLC
- Family Medicine Physician
- Yukon, OK
National Provider Identifier
1942198189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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, 2026
- Organization subpart
- Yes
- Parent organization
- WOLF CREEK MANAGEMENT
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Women's Health Nurse Practitioner
- Norman, OK
- NPI 1003986563
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1689489270
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.