Active NPI
Paul Wilson McQuillen Jr., M.D.
- Pediatrics Physician
- Bartlesville, OK
National Provider Identifier
1245208941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 11814
- Practice address
- 3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495 - Phone
- (918) 331-2468
- Fax
- (918) 331-2469
- NPI assigned
- Mar 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 11814 | OK | Primary |
Addresses
Primary practice location
3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495
Mailing address
3400 E Frank Phillips Blvd
Suite302
Bartlesville, OK 74006-2495
Phone (918) 331-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11814 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatrics of Bartlesville | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8867/brand/1/csg/1/fhir/r4
- paul.mcquillen@direct.stjohnhealthsystem.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Bartlesville, OK
- NPI 1164545216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245208941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 E FRANK PHILLIPS BLVD",
"address_2": "SUITE302",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062495",
"telephone_number": "918-331-2468",
"fax_number": "918-331-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 E FRANK PHILLIPS BLVD",
"address_2": "SUITE302",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062495",
"telephone_number": "918-331-2468",
"fax_number": "918-331-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUILLEN",
"first_name": "PAUL",
"middle_name": "WILSON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "11814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.