Active NPI
Clinton a. Winslow MD, Inc
- Family Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14840
- Legal business name
- CLINTON A. WINSLOW MD, INC
- Practice address
- 4300 S Shields Blvd
Oklahoma City, OK 73129-2864 - Phone
- (405) 632-6681
- Fax
- (405) 632-6868
- NPI assigned
- Sep 9, 2008
- Last updated
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clinton A Winslow, M.D.
- Title
- President
- Phone
- (405) 632-6681
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14840 | OK | Primary |
Addresses
Primary practice location
4300 S Shields Blvd
Oklahoma City, OK 73129-2864
Mailing address
1230 Westchester Dr
Oklahoma City, OK 73114-1215
Phone (405) 810-9574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100253270B | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
4300 S Shields Blvd
Oklahoma City, OK 73129
Phone (405) 632-6681
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1205886744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220918400000",
"number": "1063660561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 WESTCHESTER DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731141215",
"telephone_number": "405-810-9574",
"fax_number": "405-632-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 S SHIELDS BLVD",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731292864",
"telephone_number": "405-632-6681",
"fax_number": "405-632-6868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINTON A. WINSLOW MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A",
"authorized_official_last_name": "WINSLOW",
"authorized_official_first_name": "CLINTON",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-632-6681",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "14840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100253270B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.