John R Wilson, BOCPO

Primary specialty

ProsthetistTaxonomy code 224P00000X

License

LPO40 Issued in OK

Practice address

1904 SE Washington Blvd
Bartlesville, OK 74006-6736

Phone

(918) 333-6900

Fax

(918) 335-6687

NPI assigned

Jan 16, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hanger Prosthetics & Orthotics East Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Bartlesville, OK
  • NPI 1043384902
  NPD (past)
• Hanger Prosthetics & Orthotics East Inc

  dba Hanger Clinic

  • Prosthetic/Orthotic Supplier
  • Jersey City, NJ
  • NPI 1205624301

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232064000000",
    "number": "1578700217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066736",
            "telephone_number": "918-333-6900",
            "fax_number": "918-335-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740066736",
            "telephone_number": "918-333-6900",
            "fax_number": "918-335-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "credential": "BOCPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "OK",
            "license": "LPO40",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "OK",
            "license": "LPO40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Elizabeth Willis, ATC
• Joseph Willis
• Wilson Psychological Assessments, PLLC
• Wilson Psychological Associates PLLC
• Da'Nae Wilson
• Katherine Ann Wilson, MA
• Kenneth Spencer Wilson, PHD
• Kristin Leean Wilson, LPC
• Sherry M Wilson, LPC
• Sloan Andrew Wilson

• Prosthetist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Prosthetist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.