William Whitley Barnes III, M.D.

Individual provider Active NPI Pediatrics Physician · Claremore, OK

NPI 1053308304 · NPPES record last updated Mar 11, 2019

Key facts

NPI
1053308304
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
10425 (OK)
Practice address
525 E Blue Starr Dr
Claremore, OK 74017-4483
Phone
(918) 341-4311
Fax
(918) 341-8189
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10425OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William W. Barnes, III, M.D. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10425 OK Yes

Addresses

Primary practice location

525 E Blue Starr Dr
Claremore, OK 74017-4483

Mailing address

525 E Blue Starr Dr
Claremore, OK 74017-4483
Phone (918) 341-4311

Other providers in Claremore, OK

All providers in Claremore, OK · Pediatrics Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.