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

Dr. Kyle C Wooderson, DO

Individual provider Surgery Physician · NPI 1508095977

Dr. Kyle C Wooderson, DO is a General Surgery in Grove, Oklahoma. Qualified in 2008, 18 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
18
Licensed in
OK
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

601 E 13th St Ste H
Grove, OK 74344-2989
Phone: (918) 786-7300
Fax: (918) 786-7303
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4824 (OK)

Record details

NPI number1508095977
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESApril 5, 2017
Mailing address5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesINTERNAL MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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