OrganizationActive
Oklahoma Wellness Group LLC
NPI 1578031571 · Internal Medicine Physician · Edmond, OK
Provider details
- NPI number
- 1578031571
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- William Reilly, Authorized Official(817) 410-3800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
14101 North Esatern Avenue Suite B
Edmond, OK 73013
Phone: (405) 513-6655
Fax: (405) 513-6589
Street-level locationGet directions
Mailing address
1920 East State Highway 114
Southlake, TX 76092
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.