William R Grubb MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

10720 Issued in OK

Legal business name

WILLIAM R GRUBB MD INC

Practice address

1705 E 19TH St
400
Tulsa, OK 74104-5405

Phone

(918) 742-7331

Fax

(918) 742-7332

NPI assigned

Nov 11, 2010

Last updated

May 14, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William R Grubb, MDNPI 1164582375

Title

Owner

Phone

(918) 756-7110

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William R Grubb, MD

  • Internal Medicine Physician
  • Tulsa, OK
  • NPI 1164582375
  Medicare reassignment NPD Authorized official
• H. William Allred, MD

  • Colon & Rectal Surgery Physician
  • Tulsa, OK
  • NPI 1801827514
  NPD (past)
• George M Jennings, DO

  • Family Medicine Physician
  • Okmulgee, OK
  • NPI 1144392804
  NPD (past)

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1447551122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045405",
            "telephone_number": "918-742-7331",
            "fax_number": "918-742-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045405",
            "telephone_number": "918-742-7331",
            "fax_number": "918-742-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R GRUBB MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "GRUBB",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-756-7110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "10720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lecraig John Willemstein, D.C.
• Jonathan B. Willey, PTA
• Rebecca Willhite, LCSW
• William H Pittman (Dooley Pharmacy)
• William M. Nyquist D.D.S
• Williams Medical Group Practice, LLC (Integrity Urgent Care)
• Joan Williams-Collins, LCSW
• Abraham Patrick Williams
• Alexander Williams
• Alexandra Williams

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.