1. Home
  2. Directory
  3. Oklahoma
  4. Owasso
  5. Family Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Nov 1, 2023, Jun 2, 2023 (3 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 UpdateJuly 27, 20263 updates tracked since enumeration
NPPES CertifiedJuly 27, 2026
✔ 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
Open in Google Maps ↗

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Medical LLC's NPI number?

The NPI number for Willow Medical LLC is 1417640582. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Willow Medical LLC located?

Willow Medical LLC is located at 12806 E 86th Pl N Ste A, Owasso, OK 74055. The listed phone number is (539) 208-5069.

What is Willow Medical LLC's specialty?

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

What insurance does Willow Medical LLC accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Willow Medical LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willow Medical LLC was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.