Individual provider Active NPI

Tony R Hill, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Broken Arrow, OK
National Provider Identifier
1295723245
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3579 Issued in OK
Practice address
503 S. Aspen
Broken Arrow, OK 74012-8792
Phone
(918) 286-6331
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3579 OK Primary

Addresses

Primary practice location

503 S. Aspen
Broken Arrow, OK 74012-8792

Mailing address

Dept. 672
Tulsa, OK 74182-0001
Phone (866) 321-8433

Other identifiers 1

IdentifierTypeStateIssuer
100119710AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, KS, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050127000916 OK Practitioner - Emergency Medicine 9931159860 Reassigns benefits to 1 organization
I20220128000898 KS Practitioner - Family PracticePractitioner - Emergency Medicine 9931159860 Reassigns benefits to 1 organization
I20220419000472 TX Practitioner - Emergency Medicine 9931159860 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2021 Accepting new patients
DCS Medical PA CurrentSince Mar 7, 2022 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Jan 1, 2021 Accepting new patients
DCS Medical PA CurrentSince Mar 7, 2022 Accepting new patients
Swallowtail Emergency Physicians Past Accepting new patients
Sterling Emergency Services of Oklahoma, Inc. Past Accepting new patients

Locations

231 S Andover Rd
Andover, KS 67002
Phone (316) 733-9355

1805 E 17th Ave
Hutchinson, KS 67501
Phone (620) 615-7197

503 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 286-6331

2036 S Miller Ln
Ste F
Catoosa, OK 74015
Phone (918) 286-6331

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

701 Cedar Lake Blvd
Ste 120
Oklahoma City, OK 73114
Phone (405) 286-1170

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

7127 S Olympia Ave
Tulsa, OK 74132
Phone (918) 665-9500

1115 E Tyler St
Athens, TX 75751
Phone (903) 292-5015

3201 University Dr E
Ste 135
Bryan, TX 77802
Phone (979) 703-1832

Ownership & related parties

All facility ownership & control disclosures 51

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Williams Medical Group Practice, LLCMcAlester, OK, CCN 373893 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareMiami, OK, CCN 373900 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Director
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareTulsa, OK, CCN 373902 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareLiberal, KS, CCN 703811 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareGarden City, KS, CCN 703816 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareMuskogee, OK, CCN 373897 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareEnid, OK, CCN 373890 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Operational/Managerial Control
Jan 1, 2021
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareJunction City, KS, CCN 703815 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareMuskogee, OK, CCN 373888 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Jan 1, 2021
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareWoodward, OK, CCN 373885 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareAda, OK, CCN 373901 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareElk City, OK, CCN 373894 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareGuymon, OK, CCN 373892 Rural health clinic 5% Or Greater Direct Ownership Interest (5%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareChickasha, OK, CCN 373899 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareWeatherford, OK, CCN 373891 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareDuncan, OK, CCN 373896 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareGuthrie, OK, CCN 373895 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareShawnee, OK, CCN 373886 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareHutchinson, KS, CCN 703813 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareDodge City, KS, CCN 703812 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareAltus, OK, CCN 373898 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
Aug 21, 2023
Nov 1, 2022
Xpress Wellness Urgent CareShawnee, OK, CCN 373887 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CarePonca City, OK, CCN 373889 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareDurant, OK, CCN 373903 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareArdmore, OK, CCN 373904 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareGreenville, TX, CCN 673974 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Operational/Managerial Control
Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareAthens, TX, CCN 678902 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Aug 21, 2023
Nov 1, 2022
Integrity Urgent CareCorsicana, TX, CCN 678901 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (100%)
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareKilleen, TX, CCN 678905 Rural health clinic 5% Or Greater Direct Ownership Interest
Corporate Officer
Operational/Managerial Control
Apr 15, 2022
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareEmporia, KS, CCN 703818 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Operational/Managerial Control
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareHaysville, KS, CCN 703817 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareBrenham, TX, CCN 678925 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareJenks, OK, CCN 373905 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareSeminole, OK, CCN 373907 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareMineral Wells, TX, CCN 678926 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareSallisaw, OK, CCN 373906 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Xpress Wellness Urgent CareGlenpool, OK, CCN 373908 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer
W-2 Managing Employee (100%)
Aug 21, 2023
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareStephenville, TX, CCN 678933 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (100%)
Oct 12, 2022
Nov 1, 2022
Integrity Urgent CareMarshall, TX, CCN 678938 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Nov 1, 2022
Nov 1, 2022
Integrity Urgent CareCopperas Cove, TX, CCN 678943 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
W-2 Managing Employee (100%)
Oct 12, 2022
Oct 12, 2022
Integrity Urgent CareDecatur, TX, CCN 678945 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Oct 12, 2022
Integrity Urgent CareHearne, TX, CCN 678942 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
W-2 Managing Employee (100%)
Oct 12, 2022
Oct 12, 2022
Integrity Urgent CareBonham, TX, CCN 678919 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (100%)
W-2 Managing Employee
Jan 1, 2025
Jan 1, 2025
Jan 1, 2025
Xpress Wellness Urgent CareMannford, OK, CCN 373918 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Oct 12, 2022
Nov 1, 2022
Xpress Wellness Urgent CareCollinsville, OK, CCN 373919 Rural health clinic 5% Or Greater Direct Ownership Interest (51%) Oct 12, 2022
Integrity Urgent CareSpringtown, TX, CCN 678957 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Integrity Urgent CareQuinlan, TX, CCN 678956 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Integrity Urgent CarePalestine, TX, CCN 678964 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Aug 21, 2023
Xpress Wellness Urgent CareEdmond, OK, CCN 373920 Rural health clinic 5% Or Greater Direct Ownership Interest (51%)
Corporate Officer (100%)
Aug 21, 2023
Nov 1, 2022
Integrity Urgent CareGatesville, TX, CCN 678962 Rural health clinic 5% Or Greater Direct Ownership Interest (49%) Nov 1, 2022
DCS Medical PARockdale, TX, CCN 678963 Rural health clinic 5% Or Greater Direct Ownership Interest (49%)
Corporate Officer
Nov 1, 2022
Nov 1, 2022

Owned or controlled facilities with NPI records 51

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 51

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1295723245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. 672",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741820001",
            "telephone_number": "866-321-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S. ASPEN",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740128792",
            "telephone_number": "918-286-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "TONY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100119710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.