CADDO FAMILY MEDICINE CLINIC
NPI 1477899532
General Practice in Caddo, OK

Active since December 18, 2012
128 BUFFALO STREET, CADDO, OK 74729(580) 367-2100(580) 367-2103 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caddo Family Medicine Clinic NPPES

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

CADDO FAMILY MEDICINE CLINIC (NPI 1477899532) is a healthcare organization registered as a general practice in Caddo, Oklahoma and active in the NPI registry since December 2012. The organization lists Paul E Weathers, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1477899532
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDICINE WHEEL INC
Location Address128 BUFFALO STREETCaddo, OK 74729
Mailing AddressPo Box 146Caddo, OK 74729-0146 · (580) 367-2100 · Fax (580) 367-2103
Fax(580) 367-2103
Organization SubpartNo
Authorized OfficialPaul E WeathersMedical Director · (580) 367-2100
Enumeration DateDecember 18, 2012
Last NPPES UpdateMay 20, 2014
NPI 1477899532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OK · 2982
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 2982 (OK)
128 BUFFALO STREET, Caddo, OK 74729

Other Names 1

Doing Business AsCaddo Family Medicine Clinic

Other Identifiers 3

Medicaid200328450BOK
Medicaid200328450AOK
Medicare PINOKAAA1268OK

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Family Medicine
128 BUFFALO STREET
CADDO, OK 74729

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 Medicine Wheel Inc's NPI number?

The NPI number for Medicine Wheel Inc is 1477899532. It was assigned to this organization in the NPPES registry on December 18, 2012. The provider is doing business as Caddo Family Medicine Clinic.

Where is Medicine Wheel Inc located?

Medicine Wheel Inc is located at 128 Buffalo Street, Caddo, OK 74729. The listed phone number is (580) 367-2100.

What is Medicine Wheel Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medicine Wheel Inc was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.