Active NPI
William J Guthrie, D.O.
- Emergency Medicine Physician
- Wagoner, OK
National Provider Identifier
1750301479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2617
- Practice address
- 1200 W Cherokee St
Wagoner, OK 74467-4624 - Phone
- (918) 485-1210
- Fax
- (918) 485-9994
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2617 | OK | Primary |
Addresses
Primary practice location
1200 W Cherokee St
Wagoner, OK 74467-4624
Mailing address
1200 W Cherokee St
Wagoner, OK 74467-4624
Phone (918) 485-1210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2617 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750301479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674624",
"telephone_number": "918-485-1210",
"fax_number": "918-485-9994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W CHEROKEE ST",
"city": "WAGONER",
"state": "OK",
"postal_code": "744674624",
"telephone_number": "918-485-1210",
"fax_number": "918-485-9994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.