Organization Active NPI

Jay Williamson DO PC

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1740666015
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JAY WILLIAMSON DO PC
Practice address
2448 E 81St St Ste 1250
Tulsa, OK 74137-4348
Phone
(918) 982-6261
NPI assigned
Aug 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Kim Olyn Williamson
Title
Practice Manager
Phone
(918) 982-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

2448 E 81St St Ste 1250
Tulsa, OK 74137-4348

Mailing address

2448 E 81St St Ste 1250
Tulsa, OK 74137-4348
Phone (918) 982-6261

Other practice location 1

2448 E 81st St Ste 1250
Tulsa, OK 74137-4348
Phone (918) 982-6261

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151130000969 OK Part B Supplier - Clinic/Group Practice 8426358276 Receives reassigned benefits from 3 practitioners
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2103262Jay Williamson, DO PC2448 E 81St, Ste 1250, Tulsa, OK 74137Provider-performed microscopyAug 9, 2027

National Provider Directory

National Provider Directory

Locations

2448 E 81st St
Ste 1250
Tulsa, OK 74137
Phone (918) 982-6261

2000 S Wheeling Ave
Ste 700
Tulsa, OK 74104
Phone (918) 984-4999

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1740666015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374348",
            "telephone_number": "918-982-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST STE 1250",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374348",
            "telephone_number": "918-982-6261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2448 E 81st St Ste 1250",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741374348",
            "country_code": "US",
            "telephone_number": "918-982-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAY WILLIAMSON DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "OLYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "918-982-6250"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.