GREEN COUNTRY WOUND CARE OF MUSKOGEE PC
NPI 1356363238
Internal Medicine in Tulsa, OK

Active since July 23, 2006
8803 S 101ST EAST AVE, TULSA, OK 74133(918) 294-4325(918) 294-4349 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Green Country Wound Care Of Muskogee Pc NPPES

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

GREEN COUNTRY WOUND CARE OF MUSKOGEE PC (NPI 1356363238) is a healthcare organization registered as an internal medicine in Tulsa, Oklahoma and active in the NPI registry since July 2006. The organization lists Ronald D Brown, Owner, as its authorized official.

NPPES Registry Identity

NPI1356363238
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameGREEN COUNTRY WOUND CARE OF MUSKOGEE PC
Location Address8803 S 101ST EAST AVETulsa, OK 74133-5726
Mailing Address20002 E Wilderness TrceCookson, OK 74427-2090 · (918) 200-2369 · Fax (918) 457-4889
Fax(918) 294-4349
Organization SubpartNo
Authorized OfficialRonald D BrownOwner · (918) 200-2369
Enumeration DateJuly 23, 2006
Last NPPES UpdateNovember 24, 2014
✔ NPI 1356363238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 23318
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8803 S 101ST EAST AVE, Tulsa, OK 74133

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Green Country Wound Care Of Muskogee Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateOklahomaEnrollment IDO20060811000220Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Green Country Wound Care Of Muskogee PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1801846779
20002 E WILDERNESS TRCE
Cookson, OK 74427
(918) 200-2369
✔ PECOS✔ Accepts Medicare58 mi

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 Green Country Wound Care Of Muskogee PC's NPI number?

The NPI number for Green Country Wound Care Of Muskogee PC is 1356363238. It was assigned to this organization in the NPPES registry on July 23, 2006.

Where is Green Country Wound Care Of Muskogee PC located?

Green Country Wound Care Of Muskogee PC is located at 8803 S 101st East Ave, Tulsa, OK 74133. The listed phone number is (918) 294-4325.

What is Green Country Wound Care Of Muskogee PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Green Country Wound Care Of Muskogee PC enrolled in Medicare?

Yes. Green Country Wound Care Of Muskogee PC is registered in the Medicare PECOS enrollment system.

When is Green Country Wound Care Of Muskogee PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Oklahoma, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Green Country Wound Care Of Muskogee PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Green Country Wound Care Of Muskogee PC. 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 Green Country Wound Care Of Muskogee PC was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.