Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Sallisaw Family Medicine, LLC

Organization Family Medicine Physician · NPI 1972964666

Sallisaw Family Medicine, LLC provides Family Medicine Physician services in Sallisaw, Oklahoma. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 S Oak St
Sallisaw, OK 74955 Not confirmed with CMS for 10 years — call before visiting
Phone: (918) 775-0063
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1972964666
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Fuoco — Sole Member · (504) 495-6772
NPI enumeratedMarch 9, 2016
Last updated in NPPESMarch 9, 2016
Mailing address5 Tennyson Place, New Orleans, LA 70131

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