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MUSKOGEE PHYSICIAN GROUP LLC
NPI 1306208236
Urology in Muskogee, OK

Active since March 21, 2016
4318 W OKMULGEE ST, MUSKOGEE, OK 74401(918) 911-0521(918) 910-5209 Get Directions Write a Review

NPPES record last updated: April 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2016, Mar 21, 2016 (2 updates tracked since 2016).

About Muskogee Physician Group Llc NPPES

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

MUSKOGEE PHYSICIAN GROUP LLC (NPI 1306208236) is a healthcare organization registered as an urology in Muskogee, Oklahoma and active in the NPI registry since March 2016. The organization lists Elizabeth Estep, Cfo, as its authorized official.

NPPES Registry Identity

NPI1306208236
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameMUSKOGEE PHYSICIAN GROUP LLC
Location Address4318 W OKMULGEE STMuskogee, OK 74401-4648
Mailing Address4318 W Okmulgee StMuskogee, OK 74401-4648 · (918) 911-0521 · Fax (918) 910-5209
Phone(918) 911-0521
Fax(918) 910-5209
Organization SubpartNo
Authorized OfficialElizabeth EstepCfo · (615) 764-3000
Enumeration DateMarch 21, 2016
Last NPPES UpdateApril 1, 20162 updates tracked since enumeration
✔ NPI 1306208236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4318 W OKMULGEE ST, Muskogee, OK 74401
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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 5

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

RICHARD PARKS
Nurse Practitioner
4318 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 686-0471
DR. JAMES HAROLD BEEBE M.D.
Family Medicine
4318 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 686-0471
DR. CHARLES BERRY FULLENWIDER M.D.
Neurological Surgery
4318 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 683-1238
MADHULIKA KRISH MD
Family Medicine
4318 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 686-0471
DR. JESSE DEWAYNE GEREN DO
Family Medicine
4318 W OKMULGEE ST
MUSKOGEE, OK 74401
Muskogee County (918) 686-0471

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 Muskogee Physician Group LLC's NPI number?

The NPI number for Muskogee Physician Group LLC is 1306208236. It was assigned to this organization in the NPPES registry on March 21, 2016.

Where is Muskogee Physician Group LLC located?

Muskogee Physician Group LLC is located at 4318 W Okmulgee St, Muskogee, OK 74401. The listed phone number is (918) 911-0521.

What is Muskogee Physician Group LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Muskogee Physician Group LLC was last updated on April 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.