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NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
NPI 1114283025
Family Medicine in Broken Arrow, OK

Active since April 04, 2012CLIA Certified · 2 labs
1130 E LANSING ST, BROKEN ARROW, OK 74012(918) 258-9990(918) 994-4277 Get Directions Write a Review

NPPES record last updated: June 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northeast Oklahoma Physician Network Inc NPPES

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

NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC (NPI 1114283025) is a healthcare organization registered as a family medicine in Broken Arrow, Oklahoma and active in the NPI registry since April 2012. The organization holds 2 active CLIA laboratory certificates and lists Richard Ferguson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1114283025
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Location Address1130 E LANSING STBroken Arrow, OK 74012-2429
Mailing Address2408 E 81st St, Ste 300Tulsa, OK 74137-4200 · (918) 477-5049
Phone(918) 258-9990
Fax(918) 994-4277
Organization SubpartNo
Authorized OfficialRichard FergusonCeo · (918) 477-5049
Enumeration DateApril 4, 2012
Last NPPES UpdateJune 19, 2012
✔ NPI 1114283025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
1130 E LANSING ST, Broken Arrow, OK 74012
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 37D2043184

Northeast Oklahoma Physician Network · Broken Arrow, OK
Active · expires Jun 27, 2028
CLIA Number37D2043184
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorJay T. Geary
Laboratory Phone(918) 258-9990
Laboratory LocationNortheast Oklahoma Physician Network1130 East Lansing, Broken Arrow, OK 74012
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 37D2043204

Northeast Oklahoma Physician Network · Tulsa, OK
Active · expires Jun 27, 2028
CLIA Number37D2043204
Laboratory TypePhysician Office
Certificate Effective DateJune 28, 2026
Certificate Expiration DateJune 27, 2028
Laboratory DirectorJay T. Geary
Laboratory Phone(918) 477-5190
Laboratory LocationNortheast Oklahoma Physician Network2440 East 81st Street, Tulsa, OK 74137
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

PREMIER FAMILY CARE PC
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9990
NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC
Clinic/Center (Urgent Care)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9990
URGENT CARE INCORPORATED
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9111
BETSY JEAN GRAHAM-MOELLER APRN, FNP
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9990
MR. BENEDICT JOHNSON MIDDLETON IV FNP-C
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9111
MEGAN REY WINFORD APRN
Nurse Practitioner (Family)
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9990
DR. SCOTT J. FOWLER D.O.
Family Medicine
1130 E LANSING ST
BROKEN ARROW, OK 74012
Tulsa County (918) 258-9990

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 Northeast Oklahoma Physician Network Inc's NPI number?

The NPI number for Northeast Oklahoma Physician Network Inc is 1114283025. It was assigned to this organization in the NPPES registry on April 4, 2012.

Where is Northeast Oklahoma Physician Network Inc located?

Northeast Oklahoma Physician Network Inc is located at 1130 E Lansing St, Broken Arrow, OK 74012. The listed phone number is (918) 258-9990.

What is Northeast Oklahoma Physician Network Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Northeast Oklahoma Physician Network Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Northeast Oklahoma Physician Network Inc accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Northeast Oklahoma Physician Network Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Northeast Oklahoma Physician Network Inc was last updated on June 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.