NATIVE WOUND THERAPY
NPI 1104762277
General Practice in Muskogee, OK

Active since April 28, 2026CLIA 37D2339250 · Waiver
201 S 36TH ST, MUSKOGEE, OK 74401(918) 600-2701(539) 390-3009 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Native Wound Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATIVE WOUND THERAPY (NPI 1104762277), doing business as Fast Track Medical, is a healthcare organization registered as a general practice in Muskogee, Oklahoma and active in the NPI registry since April 2026. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Melissa Rae Thompson, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1104762277
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNATIVE WOUND THERAPY
Location Address201 S 36TH STMuskogee, OK 74401-5079
Mailing Address201 S 36th StMuskogee, OK 74401-5079 · (918) 600-2701 · Fax (539) 390-3009
Fax(539) 390-3009
Organization SubpartNo
Authorized OfficialMelissa Rae ThompsonChief Financial Officer · (918) 571-2499
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
NPI 1104762277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
201 S 36TH ST, Muskogee, OK 74401

Other Names 1

Doing Business AsFast Track Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2339250

Native Wound Therapy, LLC · Muskogee, OK
Active · expires Feb 25, 2028
CLIA Number37D2339250
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorDr. James Campbell
Laboratory Phone(918) 600-2701
Laboratory LocationNative Wound Therapy, LLC201 S 36th St, Muskogee, OK 74401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
201 S 36TH ST
MUSKOGEE, OK 74401
Clinic/Center (Medical Specialty)
201 S 36TH ST
MUSKOGEE, OK 74401
General Practice
201 S 36TH ST
MUSKOGEE, OK 74401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Native Wound Therapy's NPI number?

The NPI number for Native Wound Therapy is 1104762277. It was assigned to this organization in the NPPES registry on April 28, 2026. The provider is doing business as Fast Track Medical.

Where is Native Wound Therapy located?

Native Wound Therapy is located at 201 S 36th St, Muskogee, OK 74401. The listed phone number is (918) 600-2701.

What is Native Wound Therapy's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Native Wound Therapy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2339250) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Native Wound Therapy was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.