1. Home
  2. Directory
  3. Oklahoma
  4. Wagoner
  5. General Practice
  6. NPI Profile

NEXT GENERATION FAMILY MEDICAL CLINIC, LLC
NPI 1548646052
General Practice in Wagoner, OK

Active since August 06, 2015
1102 W CHEROKEE ST STE A, WAGONER, OK 74467(918) 201-4502(918) 201-4503 Get Directions Write a Review

NPPES record last updated: February 22, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Next Generation Family Medical Clinic, Llc NPPES

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

NEXT GENERATION FAMILY MEDICAL CLINIC, LLC (NPI 1548646052) is a healthcare organization registered as a general practice in Wagoner, Oklahoma and active in the NPI registry since August 2015. The organization lists Michele Bucholtz, President, as its authorized official.

NPPES Registry Identity

NPI1548646052
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameNEXT GENERATION FAMILY MEDICAL CLINIC, LLC
Location Address1102 W CHEROKEE ST STE AWagoner, OK 74467-4600
Mailing Address1102 W Cherokee St Ste AWagoner, OK 74467-4600 · (918) 201-4502 · Fax (918) 201-4503
Phone(918) 201-4502
Fax(918) 201-4503
Organization SubpartNo
Authorized OfficialMichele BucholtzPresident · (918) 201-4502
Enumeration DateAugust 6, 2015
Last NPPES UpdateFebruary 22, 2016
✔ NPI 1548646052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in OK · 4383
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
1102 W CHEROKEE ST STE A, Wagoner, OK 74467
Open in Google Maps ↗

Other Identifiers 1

Medicaid1275754780OK

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

Other Providers at the Same Location NPPES 2

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

LAUREN L KESTER
Social Worker
1102 W CHEROKEE ST STE A
WAGONER, OK 74467
Wagoner County (918) 485-2000
DENISE D HOOS
Social Worker
1102 W CHEROKEE ST STE A
WAGONER, OK 74467
Wagoner County (918) 485-2000

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 Next Generation Family Medical Clinic, LLC's NPI number?

The NPI number for Next Generation Family Medical Clinic, LLC is 1548646052. It was assigned to this organization in the NPPES registry on August 6, 2015.

Where is Next Generation Family Medical Clinic, LLC located?

Next Generation Family Medical Clinic, LLC is located at 1102 W Cherokee St Ste A, Wagoner, OK 74467. The listed phone number is (918) 201-4502.

What is Next Generation Family Medical Clinic, LLC'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 Next Generation Family Medical Clinic, LLC was last updated on February 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.