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NPI 1295811776 · Obstetrics & Gynecology Physician · Idabel, OK
Provider details
- NPI number
- 1295811776
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Migliaccio, President(580) 286-3278
- License
- 12763 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1401 S. Lynn Lane
Idabel, OK 74745
Phone: (580) 286-3278
Fax: (580) 286-3283
Street-level locationGet directions
Mailing address
1400 Se Adams St
Idabel, OK 74745-5203
Registry dates
- Enumerated
- 2006-10-27
- Last updated
- 2014-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.