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Woodward Clinic Company, LLC

Surgery Physician in Woodward, OK · enumerated 2008 · authorized official Jennifer Jackson, Sr. Director of Provider Enrollment.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912184755

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Registry record

Entity type Organization (Type 2)
Legal business name Woodward Clinic Company, LLC
Practice address 1650 Main St, Woodward, OK, 73801
Phone (580) 254-8612
Enumeration date Jan 23, 2008
Last updated in NPPES Oct 1, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jennifer Jackson
Title Sr. Director of Provider Enrollment
Phone (615) 465-3334

Other identifiers

Identifier Type State Issuer
200136030 Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-10-01. Verify at npiregistry.cms.hhs.gov.
Where is Woodward Clinic Company, LLC located?
The practice location on file with NPPES is in Woodward, OK.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-01.