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Medstaffpc

Family Medicine in Bixby, OK. Organization (NPI-2).

NPI number1457785693
StatusActive
Last updated in NPPESAug 23, 2013

Details

NPI
1457785693
Entity type
Organization (NPI-2)
Legal business name
Medstaffpc
Organization subpart
No
Enumeration date
Aug 23, 2013
Last updated
Aug 23, 2013

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

12800 S Memorial Dr
Bixby, OK 74008-2576

Phone 918-394-0940 · Fax 404-494-7404

Mailing address

4500 S 129th East Ave
Ste 191
Tulsa, OK 74134-5801

Phone 918-779-7400 · Fax 918-779-7425

Authorized official

Ron Woods
Ceo
9187797428

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Bixby, OK

All 20 Family Medicine Physician providers in Bixby · All 315 providers in Bixby

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