William Blaine Price Jr., D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4111 Issued in OK

Practice address

5657 E 41St St
Tulsa, OK 74135

Phone

(918) 622-2500

Fax

(918) 622-2502

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Oklahoma State University College of Osteopathic Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Men'S Health, Inc.Group PAC ID 7113235086, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: centerformenshealth.williamprice@135304.advancedmd-direct.com

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.

• Center for Men'S Health, Inc.

  • Adult Medicine Physician
  • Broken Arrow, OK
  • NPI 1336552710
  Medicare reassignment Care Compare group NPD Authorized official
• Center for Mens Health, Inc

  • Adult Medicine Physician
  • Tulsa, OK
  • NPI 1215337050
  NPD (past) Authorized official
• St. John Physicians, Inc

  • Rural Health Clinic/Center
  • Barnsdall, OK
  • NPI 1033176367
  NPD (past)
• St. John Physicians, Inc.

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1336194406

  Family Medicine

  NPD (past)
• Urgent Care of Green Country PLLC

  • Urgent Care Clinic/Center
  • Claremore, OK
  • NPI 1336293067
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1366423865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741356010",
            "telephone_number": "918-622-2500",
            "fax_number": "918-622-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5657 E 41ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-622-2500",
            "fax_number": "918-622-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "WILLIAM",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200031970B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindi Price
• Paige Price
• Phillip Tyler Price, D.O.
• Savannah Michelle Price
• Shiloh Hope Honorine Price
• Anari Pride
• Diane Pridemore
• Kelli Renee Pridemore, PTA
• Matthew Thomas Priest
• Adelaide L Priester, D.O.

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.