OrganizationActive
Wagoner Mobility & Medical
NPI 1740586395 · Durable Medical Equipment & Medical Supplies · Pryor, OK
Provider details
- NPI number
- 1740586395
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Brian Stevens, Manager(918) 260-4687
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
30 Elm Dr
Pryor, OK 74361-4456
Phone: (918) 260-4687
Fax: (187) 735-2918
Street-level locationGet directions
Mailing address
1202 N Navajo St
Chouteau, OK 74337-3700
Registry dates
- Enumerated
- 2011-01-31
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.