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JOHN BELK FAMILY PRACTICE PLLC
NPI 1134655004
Family Medicine in Wagoner, OK

Active since May 11, 2017
1103 W CHEROKEE ST, WAGONER, OK 74467(580) 647-6594 Get Directions Write a Review

NPPES record last updated: July 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2017, May 11, 2017 (2 updates tracked since 2017).

About John Belk Family Practice Pllc NPPES

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

JOHN BELK FAMILY PRACTICE PLLC (NPI 1134655004) is a healthcare organization registered as a family medicine in Wagoner, Oklahoma and active in the NPI registry since May 2017. The organization lists John Belk, Mbr, as its authorized official.

NPPES Registry Identity

NPI1134655004
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOHN BELK FAMILY PRACTICE PLLC
Location Address1103 W CHEROKEE STWagoner, OK 74467-4621
Mailing Address1103 W Cherokee StWagoner, OK 74467-4621
Phone(580) 647-6594
Organization SubpartNo
Authorized OfficialJohn BelkMbr · (580) 647-6594
Enumeration DateMay 11, 2017
Last NPPES UpdateJuly 18, 20172 updates tracked since enumeration
✔ NPI 1134655004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 30768
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.
1103 W CHEROKEE ST, Wagoner, OK 74467
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Other Identifiers 1

Medicare PINTO BE ENTEREDOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. RICHARD GREEN ALLEN D.O.
Family Medicine
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-3182
JOHN BELK M.D.
Family Medicine
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-3182
MACKENZIE NOELLE FORD APRN
Nurse Practitioner (Family)
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 509-4440

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 John Belk Family Practice PLLC's NPI number?

The NPI number for John Belk Family Practice PLLC is 1134655004. It was assigned to this organization in the NPPES registry on May 11, 2017.

Where is John Belk Family Practice PLLC located?

John Belk Family Practice PLLC is located at 1103 W Cherokee St, Wagoner, OK 74467. The listed phone number is (580) 647-6594.

What is John Belk Family Practice PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for John Belk Family Practice PLLC was last updated on July 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.