Active NPI
William Cliff Jennings, MD
- Surgery Physician
- Tulsa, OK
National Provider Identifier
1437129830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 11514
- Practice address
- 1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104-5638 - Phone
- (918) 744-3523
- Fax
- (918) 744-3463
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 11514 | OK | Primary |
Addresses
Primary practice location
1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104-5638
Mailing address
PO Box 268838
Oklahoma City, OK 73126-8838
Phone (918) 660-3632
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100076550B | Medicaid | OK |
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
Interoperability endpoints
- william.jennings@direct.stjohnhealthsystem.com
- wjennings466450@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1437129830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268838",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731268838",
"telephone_number": "918-660-3632",
"fax_number": "918-660-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 S WHEELING AVE",
"address_2": "STE 600",
"city": "TULSA",
"state": "OK",
"postal_code": "741045638",
"telephone_number": "918-744-3523",
"fax_number": "918-744-3463"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENNINGS",
"first_name": "WILLIAM",
"middle_name": "CLIFF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "11514",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100076550B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.