Active NPI
Integrity Wound Care, LLC
- Physician Assistant
- Stigler, OK
National Provider Identifier
1952109761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Legal business name
- INTEGRITY WOUND CARE, LLC
- Practice address
- 109 E Main St Unit D
Stigler, OK 74462-2704 - Phone
- (918) 517-8772
- NPI assigned
- Mar 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Smith
- Title
- Practice Manager
- Phone
- (918) 517-8772
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
109 E Main St Unit D
Stigler, OK 74462-2704
Mailing address
109 E Main St Unit D
Stigler, OK 74462-2704
Phone (918) 517-8772
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 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Stigler, OK
- NPI 1619273877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741219200000",
"number": "1952109761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 E MAIN ST UNIT D",
"city": "STIGLER",
"state": "OK",
"postal_code": "744622704",
"telephone_number": "918-517-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 E MAIN ST UNIT D",
"city": "STIGLER",
"state": "OK",
"postal_code": "744622704",
"telephone_number": "918-517-8772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY WOUND CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-06",
"last_updated": "2025-03-06",
"certification_date": "2025-03-06",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "918-517-8772"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stigler, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.