1. Home
  2. Directory
  3. Oklahoma
  4. Wilburton
  5. Family Medicine
  6. NPI Profile

WOODRUFF FAMILY MEDICAL CLINIC, LLC
NPI 1235570938
Family Medicine in Wilburton, OK

Active since July 10, 2013
311 W MAIN ST, WILBURTON, OK 74578(918) 465-0001(918) 465-0003 Get Directions Write a Review

NPPES record last updated: March 17, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Woodruff Family Medical Clinic, Llc NPPES

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

WOODRUFF FAMILY MEDICAL CLINIC, LLC (NPI 1235570938) is a healthcare organization registered as a family medicine in Wilburton, Oklahoma and active in the NPI registry since July 2013. The organization lists Robert A. Woodruff, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1235570938
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOODRUFF FAMILY MEDICAL CLINIC, LLC
Location Address311 W MAIN STWilburton, OK 74578-4047
Mailing Address311 W Main StWilburton, OK 74578-4047 · (918) 465-0001 · Fax (918) 465-0003
Phone(918) 465-0001
Fax(918) 465-0003
Organization SubpartNo
Authorized OfficialRobert A. WoodruffOwner/physician · (918) 465-0001
Enumeration DateJuly 10, 2013
Last NPPES UpdateMarch 17, 2014
✔ NPI 1235570938 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 · 2209
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.
311 W MAIN ST, Wilburton, OK 74578
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIN1235570938OK
Medicaid100749100AOK

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Woodruff Family Medical Clinic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Woodruff Family Medical Clinic, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Woodruff, D.O.
Family Practice
NPI 1073554754
311 W MAIN ST
Wilburton, OK 74578
(918) 465-0001
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Woodruff Family Medical Clinic, LLC's NPI number?

The NPI number for Woodruff Family Medical Clinic, LLC is 1235570938. It was assigned to this organization in the NPPES registry on July 10, 2013.

Where is Woodruff Family Medical Clinic, LLC located?

Woodruff Family Medical Clinic, LLC is located at 311 W Main St, Wilburton, OK 74578. The listed phone number is (918) 465-0001.

What is Woodruff Family Medical Clinic, LLC's specialty?

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

Is Woodruff Family Medical Clinic, LLC enrolled in Medicare?

Yes. Woodruff Family Medical Clinic, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Woodruff Family Medical Clinic, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Woodruff Family Medical Clinic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Woodruff Family Medical Clinic, LLC was last updated on March 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.