MEDWISE LLC
NPI 1629604434
Clinic/Center - Urgent Care in Coweta, OK

Active since March 13, 2020CLIA 37D2184435 · Waiver
11495 S. STATE HIGHWAY 51, COWETA, OK 74429(225) 936-9186 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medwise Llc NPPES

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

MEDWISE LLC (NPI 1629604434) is a healthcare organization registered as an urgent care in Coweta, Oklahoma and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Dennis Sidney Blackstad, President, as its authorized official.

NPPES Registry Identity

NPI1629604434
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameMEDWISE LLC
Location Address11495 S. STATE HIGHWAY 51Coweta, OK 74429
Mailing Address12902 E 51st StTulsa, OK 74134-6712 · (918) 605-6582
Organization SubpartNo
Authorized OfficialDennis Sidney BlackstadPresident · (918) 605-6582
Enumeration DateMarch 13, 2020
Last NPPES UpdateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
NPI 1629604434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
11495 S. STATE HIGHWAY 51, Coweta, OK 74429

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2184435

Medwise, LLC · Coweta, OK
Active · expires May 19, 2028
CLIA Number37D2184435
Laboratory TypeUrgent Care
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorDennis Blackstad
Laboratory Phone(918) 994-3986
Laboratory LocationMedwise, LLC11495 S State Hwy 51, Coweta, OK 74429
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
11495 S. STATE HIGHWAY 51
COWETA, OK 74429

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 Medwise LLC's NPI number?

The NPI number for Medwise LLC is 1629604434. It was assigned to this organization in the NPPES registry on March 13, 2020.

Where is Medwise LLC located?

Medwise LLC is located at 11495 S. State Highway 51, Coweta, OK 74429. The listed phone number is (225) 936-9186.

What is Medwise LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Medwise LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2184435) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medwise LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Medwise 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 Medwise LLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.