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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
12800 S Memorial DrBixby, OK 74008-2576
Phone 918-394-0940 · Fax 404-494-7404
Mailing address
4500 S 129th East AveSte 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.
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All 20 Family Medicine Physician providers in Bixby · All 315 providers in Bixby
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