Individual provider Active NPI

William J Durick, M D

  • Internal Medicine Physician
  • Claremore, OK
National Provider Identifier
1356339816
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8542 Issued in OK
Practice address
1501 N Florence
Ste 101
Claremore, OK 74017-3169
Phone
(918) 342-3633
Fax
(918) 342-8959
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8542 OK Primary

Addresses

Primary practice location

1501 N Florence
Ste 101
Claremore, OK 74017-3169

Mailing address

1501 N Florence
Ste 101
Claremore, OK 74017-3169
Phone (918) 342-3633

Other identifiers 1

IdentifierTypeStateIssuer
100173140AMedicaidOK

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10425OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Hospice of Claremore Inc PastSince Aug 10, 2006 Accepting new patients
Claremore Physicians LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: provider2@chcneo.directbygreenway.com

Organizations & group practices 2

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1356339816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE",
            "address_2": "STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173169",
            "telephone_number": "918-342-3633",
            "fax_number": "918-342-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N FLORENCE",
            "address_2": "STE 101",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740173169",
            "telephone_number": "918-342-3633",
            "fax_number": "918-342-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURICK",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "8542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100173140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; 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.