Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northeast Oklahoma Physician Network Inc

Organization Family Medicine Physician · NPI 1114283025

Northeast Oklahoma Physician Network Inc is a Family Medicine Physician in Broken Arrow, Oklahoma. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1130 E Lansing St
Broken Arrow, OK 74012-2429
Phone: (918) 258-9990
Fax: (918) 994-4277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X

Record details

NPI number1114283025
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ferguson — Ceo · (918) 477-5049
NPI enumeratedApril 4, 2012
Last updated in NPPESJune 19, 2012
Mailing address2408 E 81st St, Ste 300, Tulsa, OK 74137-4200

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