NPIMap

Individual provider Active NPI

Phillip Scott Williams, DO

  • Family Medicine Physician
  • Grove, OK
National Provider Identifier
1245522549
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5130 Issued in OK
Practice address
601 E 13TH St Ste H
Grove, OK 74344-2962
Phone
(918) 786-6228
Fax
(918) 786-3724
NPI assigned
May 5, 2011
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 5130 OK Primary

Addresses

Primary practice location

601 E 13TH St Ste H
Grove, OK 74344-2962

Mailing address

5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (918) 786-6228

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402000234 OK Practitioner - Family Practice 9133386709 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Miami HospitalGroup PAC ID 1254235468, 10 clinicians

Practice addresses (Care Compare)

30 B St SW
Integris Miami Physicians Clinic
Miami, OK 74354-6808
Phone (918) 542-5551

310 2ND Ave SW
Miami, OK 74354-6743
Phone (918) 542-6611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Grove Hospital Current Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Grove Hospital CurrentSince Apr 1, 2021 Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Sep 24, 2018 Accepting new patients
Integris Miami Hospital Current Accepting new patients
Integris Miami Hospital CurrentSince Jul 15, 2021 Accepting new patients
Integris Miami Hospital Past Accepting new patients
Summit Medical Center Past Accepting new patients
Integris Rural Health Inc Family Medicine Past Accepting new patients

Locations

601 E 13th St
Grove, OK 74344
Phone (918) 786-2277

601 E 13th St
Ste A
Grove, OK 74344
Phone (918) 786-4914

601 E 13th St
Ste H
Grove, OK 74344
Phone (918) 786-4664

30 B St SW
Miami, OK 74354
Phone (918) 542-2273

310 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7655

310 2nd Ave SW
Ste 107A
Miami, OK 74354
Phone (918) 540-7750

310 2nd Ave SW
Ste 203
Miami, OK 74354
Phone (918) 540-7788

310 2nd Ave SW
Ste 207
Miami, OK 74354
Phone (918) 540-7701

1468 N Mustang Rd
Mustang, OK 73064
Phone (405) 376-1800

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

216 S 7th St
Ste 1
Vinita, OK 74301
Phone (918) 256-1500

Interoperability endpoints

  • Direct secure messaging: pwilliams160809@direct.integrisok.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1245522549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE STE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125555",
            "telephone_number": "918-786-6228",
            "fax_number": "918-786-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 13TH ST STE H",
            "city": "GROVE",
            "state": "OK",
            "postal_code": "743442962",
            "telephone_number": "918-786-6228",
            "fax_number": "918-786-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "PHILLIP",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-05",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove, OK

Sources for this page

Verify at the official NPI Registry.