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WILLOW MEDICAL LLC
NPI 1417640582
Family Medicine in Owasso, OK

Active since June 02, 2023
12806 E 86TH PL N STE A, OWASSO, OK 74055(539) 208-5069(539) 208-5440 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 1, 2023, Jun 2, 2023 (2 updates tracked since 2023).

About Willow Medical Llc NPPES

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

WILLOW MEDICAL LLC (NPI 1417640582) is a healthcare organization registered as a family medicine in Owasso, Oklahoma and active in the NPI registry since June 2023. The organization lists Paula Moorman, Aprn, Fnp-c, as its authorized official.

NPPES Registry Identity

NPI1417640582
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWILLOW MEDICAL LLC
Location Address12806 E 86TH PL N STE AOwasso, OK 74055-2688
Mailing Address12806 E 86th Pl N Ste AOwasso, OK 74055-2688 · (539) 208-5069 · Fax (539) 208-5440
Phone(539) 208-5069
Fax(539) 208-5440
Organization SubpartNo
Authorized OfficialPaula MoormanAprn, Fnp-c · (539) 208-5069
Enumeration DateJune 2, 2023
Last NPPES UpdateMarch 13, 20242 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1417640582 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.

12806 E 86TH PL N STE A, Owasso, OK 74055
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Frequently Asked Questions

What is WILLOW MEDICAL LLC's NPI number?

The NPI number assigned to this healthcare provider is 1417640582, enumerated as an "organization" on June 02, 2023.

Where is the provider located?

The provider is located at 12806 E 86TH PL N STE A OWASSO, OK 74055 and the phone number is (539) 208-5069.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does WILLOW MEDICAL LLC accept?

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma. Please consult your insurance carrier or call the provider to verify.