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

Jack Ryan Norgren, DO

Individual provider Family Medicine Physician · NPI 1437787553

Jack Ryan Norgren, DO is a Family Practice in Ada, Oklahoma. Graduated from Michigan State University College of Osteopathic Medicine in 2020, 6 years ago. Practices with Baldwin Family Health Care, a 35-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
6
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2020
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.

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Practice location Address checks out

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 436-3980
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1035 E Wilcox Ave, White Cloud, MI 49349-8794 — (231) 689-5943

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7797 (OK)

Record details

NPI number1437787553
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address1035 E Wilcox Ave, White Cloud, MI 49349-8794

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Baldwin Family Health Care — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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