Mission Street Medical Clinic Inc
NPI 1972600112 · Family Medicine Physician · Sapulpa, OK
Mission Street Medical Clinic Inc is a Family Medicine Physician organization in Sapulpa, OK (NPI 1972600112).
Provider details
- NPI number
- 1972600112
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dianna Willis, Doctor(918) 224-9555
- License
- 2405 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2010-12-30
Frequently asked questions
- What is Mission Street Medical Clinic Inc's NPI number?
- Mission Street Medical Clinic Inc's National Provider Identifier (NPI) is 1972600112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mission Street Medical Clinic Inc?
- Mission Street Medical Clinic Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mission Street Medical Clinic Inc located?
- Mission Street Medical Clinic Inc's practice location on file with NPPES is 615 S Mission St Ste a, Sapulpa, OK 74066-4635.
- What is Mission Street Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Mission Street Medical Clinic Inc is (918) 224-9555.
- Who is the authorized official for Mission Street Medical Clinic Inc?
- The authorized official listed on Mission Street Medical Clinic Inc's NPPES record is Dianna Willis, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mission Street Medical Clinic Inc's NPI active?
- Yes — Mission Street Medical Clinic Inc's NPI (1972600112) is active in the NPPES registry as of the last update on 2010-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.