MEDICARE: ABBEY WOODS MD

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	207Q00000X	Family Medicine Physician	2013019962	MO
2	207Q00000X	Family Medicine Physician	32305	OK

General Provider Information

NPI Number	:	1417396516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBEY WOODS MD

Provider Business Mailing Address
First Line	:	4821 SW 130TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73173-8913
Country	:	US
Telephone Number	:	405-353-1460
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 SW 119TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73170-4930
Country	:	US
Telephone Number	:	405-353-1460
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2013
Last Update Date	:	07/23/2022

Similar Medicare Providers

1487000154 — QUY PHAM M.D
Practice Location Address:

1512 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-310-6000
Practice Fax: 405-280-1398

1518772433 — EVI DERMATOLOGY PLLC
Practice Location Address:

1512 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-310-6000
Practice Fax: 405-280-1398

1053711523 — DR. KYLE BROTHERTON D.C.
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-602-8925
Practice Fax: 405-304-3021

1699121467 — ALIGN OKLAHOMA PC
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-602-8925
Practice Fax: 405-304-3021

1861977365 — WOODS FAMILY MEDICINE PLLC
Practice Location Address:

1510 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 573-578-0638
Practice Fax:

1235902388 — ADVANTAGE HOME MEDICAL
Practice Location Address:

1514 SW 119TH ST
OKLAHOMA CITY, OK
73170-4930

Practice Phone: 405-689-0433
Practice Fax:

Directions to “ ABBEY WOODS MD” 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 © 2007-2025 (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.