NPIMap

Individual provider Active NPI

William Andrew Anthony, D.O.

  • Family Medicine Physician
  • Stillwater, OK
National Provider Identifier
1508306655
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6353 Issued in OK
Practice address
1815 W 6TH Ave
Stillwater, OK 74074-4202
Phone
(405) 742-7300
NPI assigned
Mar 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 6353 OK Primary

Addresses

Primary practice location

1815 W 6TH Ave
Stillwater, OK 74074-4202

Mailing address

PO Box 720006
Norman, OK 73070-4006
Phone (405) 742-5300

Other practice location 1

2345 Southwest Blvd
OSU Healthcare Center
Tulsa, OK 74107-2705
Phone (918) 582-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909003028 OK Practitioner - Family Practice 2567880404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater Medical Center AuthorityGroup PAC ID 2365353794, 155 clinicians

Practice addresses (Care Compare)

1815 W 6TH Ave
Stillwater Med C Clinic W
Stillwater, OK 74074-2402
Phone (405) 743-7300

Hospital & facility affiliations

  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6353OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Medical Center Authority Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Stillwater Medical Center Authority Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Stillwater Medical Center Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770

1815 W 6th Ave
Stillwater, OK 74074
Phone (405) 743-7300

Interoperability endpoints

  • Direct secure messaging: william.anthony.p1@direct.smc.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1508306655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720006",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704006",
            "telephone_number": "405-742-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W 6TH AVE",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744202",
            "telephone_number": "405-742-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Southwest Blvd",
            "address_2": "OSU Healthcare Center",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741072705",
            "country_code": "US",
            "telephone_number": "918-582-1980",
            "fax_number": "918-561-1289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-07",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

Verify at the official NPI Registry.