Active NPI
William Edwin Gupton, MD
- Family Medicine Physician
- McAlester, OK
National Provider Identifier
1063475275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12190
- Practice address
- 1401 E Van Buren Ave
McAlester, OK 74501-4245 - Phone
- (918) 426-0240
- Fax
- (918) 423-4051
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12190 | OK | Primary |
Addresses
Primary practice location
1401 E Van Buren Ave
McAlester, OK 74501-4245
Mailing address
PO Box 908
McAlester, OK 74502-0908
Phone (918) 426-0240
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1324230001 | Other | OK | PALMETTO DME |
| 74502A008 | Other | OK | CHAMPUS |
| 0166707 | Other | OK | UMWA |
| 731310891006 | Other | OK | UNICARE |
| 731310891028 | Other | OK | TRICARE SOUTH |
| D39156 | Other | OK | STERLING OPTION 1 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1063475275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 908",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745020908",
"telephone_number": "918-426-0240",
"fax_number": "918-423-4051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E VAN BUREN AVE",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014245",
"telephone_number": "918-426-0240",
"fax_number": "918-423-4051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUPTON",
"first_name": "WILLIAM",
"middle_name": "EDWIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "12190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO DME",
"identifier": "1324230001",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "74502A008",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA",
"identifier": "0166707",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "731310891006",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SOUTH",
"identifier": "731310891028",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING OPTION 1",
"identifier": "D39156",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.