Organization Active NPI

Dr. Nesbit, PLLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1811514698
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR. NESBIT, PLLC
Practice address
3336 E 32ND St Ste 230
Tulsa, OK 74135-4442
Phone
(918) 203-7588
Fax
(833) 654-0639
NPI assigned
Jun 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Authorized official

Name
Dr. William Hugh Nesbit, MDNPI 1083887798
Title
Owner
Phone
(918) 203-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3336 E 32ND St Ste 230
Tulsa, OK 74135-4442

Mailing address

PO Box 691347
Tulsa, OK 74169-1347
Phone (918) 203-7588

Other identifiers 1

IdentifierTypeStateIssuer
200919850BMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811000209 OK Part B Supplier - Clinic/Group Practice 7517382369 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

3336 E 32nd St
Ste 230
Tulsa, OK 74135
Phone (918) 203-7588

2622 E 21st St
Tulsa, OK 74114

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23522/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1811514698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691347",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741691347",
            "telephone_number": "918-203-7588",
            "fax_number": "918-203-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3336 E 32ND ST STE 230",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741354442",
            "telephone_number": "918-203-7588",
            "fax_number": "833-654-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NESBIT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "NESBIT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-203-7588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200919850B",
            "state": "OK"
        }
    ],
    "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 Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.