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

Sallisaw Family Medicine, LLC

Organization Family Medicine Physician · NPI 1972964666

Sallisaw Family Medicine, LLC is a Family Medicine Physician in Sallisaw, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 S Oak St
Sallisaw, OK 74955
Phone: (918) 775-0063
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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

Record details

NPI number1972964666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Fuoco — Sole Member · (504) 495-6772
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016
Mailing address5 Tennyson Place, New Orleans, LA 70131

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