Individual provider Active NPI

Clinton Alan Winslow, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1205886744
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14840 Issued in OK
Practice address
4300 S Shields Blvd
Oklahoma City, OK 73129-2864
Phone
(405) 632-6681
Fax
(405) 632-6868
NPI assigned
May 12, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

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) 810-9475

Other practice location 1

7313 S Western Ave
Oklahoma City, OK 73139-2007
Phone (405) 251-8884

Other identifiers 1

IdentifierTypeStateIssuer
100253270 BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000833 OK Practitioner - Family Practice 3274692553 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14840OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Oklahoma, LLC CurrentSince Aug 11, 2022 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

7313 S Western Ave
Oklahoma City, OK 73139
Phone (405) 251-8884

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: clinic@drwinslow.directbygreenway.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1205886744",
    "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": "405-810-9475"
        },
        {
            "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": [
        {
            "address_1": "7313 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731392007",
            "country_code": "US",
            "telephone_number": "405-251-8884",
            "fax_number": "405-665-7042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINSLOW",
        "first_name": "CLINTON",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-09-29",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "14840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100253270 B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.