Organization Active NPI

William E Tankersley MD PLLC

  • Psychiatry Physician
  • Moore, OK
National Provider Identifier
1366616526
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24016 Issued in OK
Legal business name
WILLIAM E TANKERSLEY MD PLLC
Practice address
604 S Classen Ave
Suite C
Moore, OK 73160-5401
Phone
(405) 799-0900
Fax
(405) 799-0902
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
William E Tankersley IV, MD
Title
Physician/Owner
Phone
(405) 799-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 24016 OK Primary

Addresses

Primary practice location

604 S Classen Ave
Suite C
Moore, OK 73160-5401

Mailing address

PO Box 7411
Moore, OK 73153-1411
Phone (405) 799-0900

National Provider Directory

National Provider Directory

Locations

900 E Main St
#52
Norman, OK 73071

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1366616526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7411",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731531411",
            "telephone_number": "405-799-0900",
            "fax_number": "405-799-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S CLASSEN AVE",
            "address_2": "SUITE C",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731605401",
            "telephone_number": "405-799-0900",
            "fax_number": "405-799-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E TANKERSLEY MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "TANKERSLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-799-0900",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "24016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.