Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kyle C Wooderson, DO

Individual provider Surgery Physician · NPI 1508095977

Dr. Kyle C Wooderson, DO is a General Surgery in Grove, Oklahoma. Qualified in 2008, 18 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
18
Licensed in
OK
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

601 E 13th St Ste H
Grove, OK 74344-2989
Phone: (918) 786-7300
Fax: (918) 786-7303
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4824 (OK)

Record details

NPI number1508095977
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 7, 2009
Last updated in NPPESApril 5, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesINTERNAL MEDICINE, OSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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