OKLAHOMA WEST PHYSICIANS GROUP NPI 1457531600

NPI Information

NPI: 1457531600
Provider Name: OKLAHOMA WEST PHYSICIANS GROUP
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
579 N BROADWAY AVE
HYDRO, OK
ZIP 73048
Phone: (405) 663-2291
Get Directions

OKLAHOMA WEST PHYSICIANS GROUP is a family medicine in Hydro, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. OKLAHOMA WEST PHYSICIANS GROUP NPI is 1457531600. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

579 N BROADWAY AVE
HYDRO, OK
ZIP 73048-425
Phone: (405) 663-2291
Fax: (405) 663-2121

The provider's authorized official is Brenda R Stutzman .
The authorized official title is Physician and has the following contact phone number (405) 663-2291.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		3099	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	446748104001	OTHER	OKLAHOMA	BLUE CROSS/BLUE SHIELD
2	G23159	MEDICARE UPIN	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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