MEDICARE: WAGONER ORTHOPEDIC CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282N00000X	General Acute Care Hospital	2298	OK

General Provider Information

NPI Number	:	1205007531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAGONER ORTHOPEDIC CENTER

Provider Business Mailing Address
First Line	:	1202 W CHEROKEE ST STE B
Second Line	:
City	:	WAGONER
State	:	OK
Zip	:	74467-4629
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1202 W CHEROKEE ST STE B
Second Line	:
City	:	WAGONER
State	:	OK
Zip	:	74467-4629
Country	:	US
Telephone Number	:	918-485-5514
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	JIMMY LEOPARD
Credential	:
Telephone Number	:	918-485-5514

Provider Enumeration Date	:	03/14/2008
Last Update Date	:	03/09/2018

Similar Medicare Providers

1285621482 — DR. LEON JAY YODER DO
Practice Location Address:

1202 W CHEROKEE ST STE C
WAGONER, OK
74467-4629

Practice Phone: 918-485-1205
Practice Fax: 918-485-1695

1871554139 — KELLY VAN DAVIS M.D.
Practice Location Address:

1202 W CHEROKEE ST STE H
WAGONER, OK
74467-4629

Practice Phone: 918-614-5533
Practice Fax: 918-485-6020

1588683510 — DR. JEFFREY K EVANS MD
Practice Location Address:

1202 W CHEROKEE ST STE F
WAGONER, OK
74467-4629

Practice Phone: 918-485-1867
Practice Fax: 918-485-1305

1861515165 — JOHN K BINI MD
Practice Location Address:

1202 W CHEROKEE ST STE C
WAGONER, OK
74467-4629

Practice Phone: 918-485-1205
Practice Fax: 918-485-1695

1093925810 — DR. CHELSEA C MCGEE D.O.
Practice Location Address:

1202 W CHEROKEE ST , SUITE B
WAGONER, OK
74467-4629

Practice Phone: 918-485-1326
Practice Fax: 918-512-4021

1003099276 — CASEY HANNA MD PROFESSIONAL CORPORATION
Practice Location Address:

1202 W CHEROKEE ST STE E
WAGONER, OK
74467-4629

Practice Phone: 918-485-5188
Practice Fax: 915-485-5402

Directions to “WAGONER ORTHOPEDIC CENTER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.