NPIMap

Individual provider Active NPI

William J Harrison, D.O.

  • Family Medicine Physician
  • Durant, OK
National Provider Identifier
1629070388
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2926 Issued in OK
Practice address
1610 W University Blvd
Durant, OK 74701-3045
Phone
(580) 924-3400
Fax
(580) 924-7732
NPI assigned
Aug 12, 2005
Last updated
Sep 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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 2926 OK Primary

Addresses

Primary practice location

1610 W University Blvd
Durant, OK 74701-3045

Mailing address

PO Box 1610
Durant, OK 74702-1610
Phone (580) 924-3400

Other identifiers 1

IdentifierTypeStateIssuer
100194770AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address william.harrison.2@4696.direct.athenahealth.com

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
I20050316000078 OK Practitioner - Family PracticePractitioner - Emergency Medicine 9234026998 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Integral Staffing LLCGroup PAC ID 0648612341, 15 clinicians

Practice addresses (Care Compare)

1800 W University Blvd
Durant, OK 74701-3006
Phone (719) 688-1483

901 S 5TH Ave
Madill, OK 73446-3640
Phone (719) 688-1483

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2926OKMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Integral Staffing LLC CurrentSince Sep 25, 2025 Accepting new patients
Lee Family Clinic Inc Family Medicine Current Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
McCurtain Memorial Medical Management, Inc. Current Accepting new patients
Lee Family Clinic Current Accepting new patients
Durant Hma Physician Management, LLC CurrentSince Jan 1, 2013 Accepting new patients
Marshall County Hma, LLC Past Accepting new patients
Neon Clinic Inc Past Accepting new patients
Marshall County Hma LLC Family Medicine Past Accepting new patients
Marshall County Hma LLC Family Medicine PastSince Apr 12, 2018 Accepting new patients

Locations

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

1610 W University Blvd
Durant, OK 74701
Phone (580) 924-3400

1400 Bryan Dr
Ste 301
Durant, OK 74701
Phone (580) 920-0105

1301 E Lincoln Rd
Idabel, OK 74745
Phone (580) 208-3103

907 Hospital Dr
Madill, OK 73446
Phone (580) 795-0191

Interoperability endpoints

  • Direct secure messaging: william.harrison.2@4696.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1629070388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1610",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747021610",
            "telephone_number": "580-924-3400",
            "fax_number": "580-924-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013045",
            "telephone_number": "580-924-3400",
            "fax_number": "580-924-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100194770A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "william.harrison.2@4696.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "1610 W University Blvd",
            "city": "Durant",
            "state": "OK",
            "country_code": "US",
            "postal_code": "747013045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

Verify at the official NPI Registry.