MEDICINE WHEEL INC NPI 1477899532

NPI Information

NPI: 1477899532
Provider Name: MEDICINE WHEEL INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Doing Business As: CADDO FAMILY MEDICINE CLINIC
Address: 128 BUFFALO STREET
CADDO, OK
ZIP 74729
Phone: (580) 367-2100

Map and Directions

Get Directions

NPI Details

MEDICINE WHEEL INC is a general practice in Caddo, OK. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICINE WHEEL INC NPI is 1477899532. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Caddo Family Medicine Clinic.

The provider's business location address is:

128 BUFFALO STREET
CADDO, OK
ZIP 74729
Phone: (580) 367-2100
Fax: (580) 367-2103

The provider's authorized official is Paul E Weathers .
The authorized official title is Medical Director and has the following contact phone number (580) 367-2100.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 5/20/2014.

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	207P00000X	Emergency Medicine		2982	OKLAHOMA	No
2	208D00000X	General Practice		2982	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
1	200328450B	MEDICAID	OKLAHOMA
2	200328450A	MEDICAID	OKLAHOMA
3	OKAAA1268	MEDICARE PIN	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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI