Organization Active NPI

Sherrie G. Williamson DO, PLLC

  • Medical Specialty Clinic/Center
  • Norman, OK
National Provider Identifier
1104856350
Registry record updated Dec 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2988 Issued in OK
Legal business name
SHERRIE G. WILLIAMSON DO, PLLC
Practice address
3201 W Tecumseh Rd
Ste.230
Norman, OK 73072-1818
Phone
(405) 701-1010
Fax
(405) 701-1011
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Sherrie G. Williamson, D.O.
Title
Owner/President
Phone
(405) 701-1010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 2988 OK
Medical Specialty Clinic/Center 261QM2500X 2988 OK Primary

Addresses

Primary practice location

3201 W Tecumseh Rd
Ste.230
Norman, OK 73072-1818

Mailing address

3201 W Tecumseh Rd
Ste. 230
Norman, OK 73072-1818
Phone (405) 701-1010

Other identifiers 1

IdentifierTypeStateIssuer
00R08JOtherOKMEDICARE ID

National Provider Directory

National Provider Directory

Locations

3301 W Rock Creek Rd
Norman, OK 73072
Phone (405) 374-6199

3010 Williams Dr
#25
Georgetown, TX 78628

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292284800000",
    "number": "1104856350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W TECUMSEH RD",
            "address_2": "STE. 230",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721818",
            "telephone_number": "405-701-1010",
            "fax_number": "405-701-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W TECUMSEH RD",
            "address_2": "STE.230",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730721818",
            "telephone_number": "405-701-1010",
            "fax_number": "405-701-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRIE G. WILLIAMSON DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-12-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-701-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "OK",
            "license": "2988",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "00R08J",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.