Organization Active NPI

Clinton a. Winslow MD, Inc

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1063660561
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14840 Issued in OK
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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.NPI 1205886744
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100253270BMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.