Individual provider Active NPI

Terence Michael Williams, DO

  • Family Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1487685020
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2287 Issued in OK
Practice address
20 E 34TH St
Sand Springs, OK 74063-4001
Phone
(918) 245-9675
Fax
(918) 245-9679
NPI assigned
Jul 5, 2006
Last updated
May 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2287 OK Primary

Addresses

Primary practice location

20 E 34TH St
Sand Springs, OK 74063-4001

Mailing address

20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675

Other identifiers 1

IdentifierTypeStateIssuer
100118800DMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2287OKMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1487685020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 34TH ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634001",
            "telephone_number": "918-245-9675",
            "fax_number": "918-245-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 34TH ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634001",
            "telephone_number": "918-245-9675",
            "fax_number": "918-245-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERENCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100118800D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.