MR. WILLIE J STREET P.A.-C
NPI 1215005244
Physician Assistant in Tonkawa, OK

Active since November 30, 2006
600 E GRAND AVE, TONKAWA, OK 74653(580) 628-4800 Get Directions Write a Review

NPPES record last updated: March 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Willie J Street P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. WILLIE J STREET P.A.-C (NPI 1215005244) is an individual physician assistant in Tonkawa, Oklahoma, licensed in Oklahoma (631) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1215005244
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. WILLIE J STREETCredential: P.A.-C
Location Address600 E GRAND AVETonkawa, OK 74653-3545
Mailing AddressPo Box 532Tonkawa, OK 74653-0532 · (580) 628-4800
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateMarch 7, 2012
NPI 1215005244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OK · 631
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
600 E GRAND AVE, Tonkawa, OK 74653

Other Identifiers 3

Medicare ID-Type Unspecified248420801OK
Medicaid100101960GOK
Medicare UPINPO1471OK

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
600 E GRAND AVE
TONKAWA, OK 74653
Family Medicine
600 E GRAND AVE
TONKAWA, OK 74653
Family Medicine
600 E GRAND AVE, SUITE 1
TONKAWA, OK 74653
Nurse Practitioner (Family)
600 E GRAND AVE
TONKAWA, OK 74653
Physician Assistant
600 E GRAND AVE
TONKAWA, OK 74653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willie Street's NPI number?

The NPI number for Willie Street is 1215005244. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Willie Street located?

Willie Street practices at 600 E Grand Ave, Tonkawa, OK 74653. The listed phone number is (580) 628-4800.

What is Willie Street's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Willie Street was last updated on March 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.