ADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC
NPI 1972796274
Specialist in Muskogee, OK

Active since August 21, 2007CLIA 37D1011071 · Microscopy
4200 W OKMULGEE ST, MUSKOGEE, OK 74401(918) 683-5025(918) 913-9703 Get Directions Write a Review

NPPES record last updated: April 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Urology And Wellness Center Of Muskogee Pllc NPPES

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

ADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC (NPI 1972796274) is a healthcare organization registered as a specialist in Muskogee, Oklahoma and active in the NPI registry since August 2007. The organization holds a CLIA Microscopy certificate valid through June 26, 2027 and lists Jewell Lee Daniels, Director, as its authorized official.

NPPES Registry Identity

NPI1972796274
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED UROLOGY AND WELLNESS CENTER OF MUSKOGEE PLLC
Location Address4200 W OKMULGEE STMuskogee, OK 74401-4646
Mailing Address4200 W Okmulgee StMuskogee, OK 74401-4646 · (918) 683-5025 · Fax (918) 913-9703
Fax(918) 913-9703
Organization SubpartNo
Authorized OfficialJewell Lee DanielsDirector · (918) 683-5025
Enumeration DateAugust 21, 2007
Last NPPES UpdateApril 16, 2013
NPI 1972796274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · 23095
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4200 W OKMULGEE ST, Muskogee, OK 74401

Other Identifiers 2

Medicare PIN400522307OK
Medicaid200044610AOK

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

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 for Provider-Performed Microscopy Procedures (PPMP) 37D1011071

Advance Urology And Wellness Center Of Muskogee · Muskogee, OK
Active · expires Jun 26, 2027
CLIA Number37D1011071
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJewell L. Daniels
Laboratory Phone(918) 683-5025
Laboratory LocationAdvance Urology And Wellness Center Of Muskogee4200 W Okmulgee, Muskogee, OK 74401
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

Nurse Practitioner (Family)
4200 W OKMULGEE ST
MUSKOGEE, OK 74401
Urology
4200 W OKMULGEE ST
MUSKOGEE, OK 74401

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 Advanced Urology And Wellness Center Of Muskogee PLLC's NPI number?

The NPI number for Advanced Urology And Wellness Center Of Muskogee PLLC is 1972796274. It was assigned to this organization in the NPPES registry on August 21, 2007.

Where is Advanced Urology And Wellness Center Of Muskogee PLLC located?

Advanced Urology And Wellness Center Of Muskogee PLLC is located at 4200 W Okmulgee St, Muskogee, OK 74401. The listed phone number is (918) 683-5025.

What is Advanced Urology And Wellness Center Of Muskogee PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Advanced Urology And Wellness Center Of Muskogee PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 37D1011071) is associated with this NPI, valid through June 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Urology And Wellness Center Of Muskogee PLLC was last updated on April 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.