Midtown OBGYN

Primary specialty

Obstetrics PhysicianTaxonomy code 207VX0000X

Legal business name

MIDTOWN OBGYN

Practice address

1705 E 19TH St Ste 701
Tulsa, OK 74104-5418

Phone

(918) 549-0497

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Brandon Maray Wilson, DO

Title

OBGYN

Phone

(918) 549-0497

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1174244313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 W 79TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741322645",
            "telephone_number": "918-549-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST STE 701",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045418",
            "telephone_number": "918-549-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN OBGYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "MARAY",
        "authorized_official_title_or_position": "OBGYN",
        "authorized_official_telephone_number": "918-549-0497",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Dental Studio PLLC
• Midtown Dentistry,Inc
• Midtown Dermatology LLC
• Midtown Eyecare
• Midtown Medical Neuropathy, LLC
• Midtown Pediatrics, PLLC
• Midtown Surgical and Skin Institute PLLC
• Midtown Tulsa Pediatric Group PLLC
• Midwest Neuro Solutions, PLC
• Midwest Wellness and Wound Care LLC

• Obstetrics Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Obstetrics Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.