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

Woodward Clinic Company, LLC

Organization Family Medicine Physician · NPI 1912184755

Woodward Clinic Company, LLC is a Family Medicine Physician in Woodward, Oklahoma. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
5
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

1650 Main St
Woodward, OK 73801-3046
Phone: (580) 254-8612
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1912184755
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jackson — Sr. Director Of Provider Enrollment · (615) 465-3334
NPI enumeratedJanuary 23, 2008
Last updated in NPPESOctober 1, 2021
Certification dateOctober 1, 2021
Mailing address7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829

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