Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Complete NPI Record 1346608809
Family Medicine in Lawton, OK
Active since January 29, 2016
Complete NPI Dataset
This page contains the complete raw NPPES record for Williams Medical Group Practice, Llc (NPI 1346608809), a family medicine organization in Lawton, OK. All 37 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1346608809 Field 1/37
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/37
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/37
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: WILLIAMS MEDICAL GROUP PRACTICE, LLC Field 4/37
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/37
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/37
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 777 NW 63RD ST FL 2 Field 7/37
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: OKLAHOMA CITY Field 8/37
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: OK Field 9/37
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 731167601 Field 10/37
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/37
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4057240574 Field 12/37
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 4058494105 Field 13/37
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 6744 NW CACHE RD Field 14/37
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: LAWTON Field 15/37
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: OK Field 16/37
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 735052702 Field 17/37
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/37
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 5805369355 Field 19/37
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 5805369357 Field 20/37
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: PAYNTER Field 23/37
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: SUSAN Field 24/37
- The first name of the authorized official.
- Authorized Official Title or Position: CONTRACT & CREDENTIALING MANAGER Field 25/37
- The title or position of the authorized official.
- Authorized Official Telephone Number: 4057240574 Field 26/37
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 207Q00000X Field 27/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 28/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 261Q00000X Field 29/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 30/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 3: 261QM1300X Field 31/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 3: N Field 32/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 4: 261QU0200X Field 33/37
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 4: N Field 34/37
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 35/37
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 36/37
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 2
Additional business and trade names this provider has on file with the NPPES registry.
Integrity Urgent Care Doing Business As
Name 1/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Xpress Wellness Urgent Care Doing Business As
Name 2/2Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 40
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
7127 S Olympia Ave
Location 1/40Tulsa, OK 74132-1856 · Phone (918) 665-9500
231 S Andover Rd
Location 2/40Andover, KS 67002-7919 · Phone (316) 733-9355 · Fax (316) 733-2650
106 E 10th
Location 3/40Newton, KS 67114-6711 · Phone (316) 836-2005 · Fax (316) 836-2006
445 W 15th Street
Location 4/40Liberal, KS 67901-0000 · Phone (620) 417-9012 · Fax (620) 417-9013
2501 N 14th St
Location 5/40Ponca City, OK 74601-1734 · Phone (580) 749-5076
1327 Oklahoma Ave
Location 6/40Woodward, OK 73801-4454 · Phone (580) 254-2377 · Fax (580) 254-2388
2525 Chandler Rd
Location 7/40Muskogee, OK 74403-5088 · Phone (918) 681-7533 · Fax (918) 684-9033
12 E MacArthur St
Location 8/40Shawnee, OK 74804-2135 · Phone (405) 275-1001 · Fax (405) 275-1201
701 W Ruth Ave
Location 9/40Sallisaw, OK 74955-7273 · Phone (918) 235-6622 · Fax (539) 250-4118
12190 S Waco Ave Ste C
Location 10/40Glenpool, OK 74033-5661 · Phone (918) 936-2882
3800 10th St
Location 11/40Great Bend, KS 67530-3549 · Phone (620) 603-4216 · Fax (620) 603-4481
949 E Taft Ave
Location 12/40Sapulpa, OK 74066-5728 · Phone (918) 224-6079 · Fax (918) 224-6126
2518 N Main St
Location 13/40Miami, OK 74354-1602 · Phone (918) 540-9077 · Fax (918) 540-9080
1303 N Washington St
Location 14/40Weatherford, OK 73096-2443 · Phone (580) 772-2820 · Fax (580) 772-2845
425 McCall Road
Location 15/40Manhattan, KS 66502 · Phone (785) 669-4152
2031 W 6th Ave
Location 16/40Emporia, KS 66801 · Phone (620) 481-2520
220 S Van Buren St
Location 17/40Enid, OK 73703-5812 · Phone (580) 234-9355 · Fax (580) 540-3016
1805 1/2 E 17th Ave
Location 18/40Hutchinson, KS 67501 · Phone (620) 615-7197 · Fax (620) 615-7198
1513 W Wyatt
Location 19/40Dodge City, KS 67801-3352 · Phone (620) 682-8304 · Fax (620) 682-8305
901 W Main St
Location 20/40Durant, OK 74701-5070 · Phone (580) 634-2931
3511 Clinton Pl
Location 21/40Lawrence, KS 66047-2196 · Phone (785) 838-1500 · Fax (785) 838-1540
1021 Fleming St
Location 22/40Garden City, KS 67846-6269 · Phone (620) 287-2010
1201 S Division
Location 23/40Guthrie, OK 73044-5021 · Phone (405) 293-4504 · Fax (405) 293-4134
1602 E Wrangler Blvd
Location 24/40Seminole, OK 74868-3520 · Phone (405) 716-9077
416 N Main St
Location 25/40Altus, OK 73521-3108 · Phone (580) 379-0925 · Fax (580) 379-0935
4475 Sunrise Blvd
Location 26/40Edmond, OK 73034 · Phone (405) 531-3835 · Fax (855) 538-7884
527 W 6th St
Location 27/40Junction City, KS 66441-3143 · Phone (785) 530-5823
1817 Arlington St
Location 28/40Ada, OK 74820 · Phone (580) 279-0985
340 S George Nigh Expy
Location 29/40McAlester, OK 74501-6075 · Phone (918) 420-9854
411 W Grand Ave
Location 30/40Chickasha, OK 73018-5862 · Phone (405) 224-0053 · Fax (405) 224-0056
1675 12th Ave NW
Location 31/40Ardmore, OK 73401-1283 · Phone (580) 798-0234 · Fax (580) 798-0319
2088 N Hwy 81
Location 32/40Duncan, OK 73533-1416 · Phone (580) 606-6201 · Fax (580) 786-3200
550 W Shawnee St
Location 33/40Muskogee, OK 74401-4144 · Phone (918) 910-5186
11462 S Union Ave Ste F
Location 34/40Jenks, OK 74037-6901 · Phone (918) 518-0220
280 Trower Blvd
Location 35/40Mannford, OK 74044 · Phone (405) 445-1210
1600 Wallace Dr Ste 100
Location 36/40Carrollton, TX 75006-8007 · Phone (405) 654-1121 · Fax (405) 654-1121
503 S Aspen Ave
Location 37/40Broken Arrow, OK 74012-2296 · Phone (918) 286-6331
5688 E 146th Street
Location 38/40Collinsville, OK 74021 · Phone (405) 445-1210
2036 S Miller Ln Ste F
Location 39/40Catoosa, OK 74015-1539 · Phone (918) 739-4552
2215 N Highway 64
Location 40/40Guymon, OK 73942-2750 · Phone (580) 754-2280 · Fax (580) 754-2281
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