PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC
NPI 1366892424
Family Medicine in Stillwater, OK

Active since June 20, 2016
1921 W 6TH AVE STE A, STILLWATER, OK 74074(888) 829-8550 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 21, 2026, Jun 20, 2016 (2 updates tracked since 2016).

About Physician Management Services Of Oklahoma, Llc NPPES

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

PHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC (NPI 1366892424) is a healthcare organization registered as a family medicine in Stillwater, Oklahoma and active in the NPI registry since June 2016. The organization lists Casey Deloach, President, as its authorized official.

NPPES Registry Identity

NPI1366892424
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePHYSICIAN MANAGEMENT SERVICES OF OKLAHOMA, LLC
Location Address1921 W 6TH AVE STE AStillwater, OK 74074-4204
Mailing Address800 N Magnolia Ave Ste 700Orlando, FL 32803-3264
Organization SubpartYesParent: Vaxcare Corporation
Authorized OfficialCasey DeloachPresident · (888) 829-8550
Enumeration DateJune 20, 2016
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1366892424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.

1921 W 6TH AVE STE A, Stillwater, OK 74074

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

Accepted Insurance

Other Providers at the Same Location NPPES 9

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

Pediatrics
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074
Family Medicine
1921 W 6TH AVE STE A
STILLWATER, OK 74074

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366892424, enumerated as an "organization" on June 20, 2016.

The provider is located at 1921 W 6TH AVE STE A STILLWATER, OK 74074 and the phone number is (888) 829-8550.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.