David W Dillow, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2611 Issued in OK

Practice address

1600 W University Blvd
Durant, OK 74701-3094

Phone

(580) 924-5500

Fax

(580) 924-1991

NPI assigned

Aug 12, 2005

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Lee Family Clinic

  dba University Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Durant, OK
  • NPI 1295854180
  NPD
• Lee Family Clinic Inc

  dba University Medical Group

  • Family Medicine Physician
  • Durant, OK
  • NPI 1073558441
  NPD
• Oklahoma Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Durant, OK
  • NPI 1891039764
  NPD

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1821090572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013094",
            "telephone_number": "580-924-5500",
            "fax_number": "580-924-1991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W University Blvd",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "OK",
            "postal_code": "747013006",
            "country_code": "US",
            "telephone_number": "580-924-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLOW",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100135450A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Associates of Durant, PLLC
• Kaylin Rilee Dewald, PHARMD
• Cole David Dewitt, DO
• Johnathan Diamond
• Shade M Dill
• Nicholi Katharina Dillow, LPC
• Diversified Consulting, Inc. (Center for Psychological Development)
• William H Dixon Jr., PTA
• Doctors Clinic of Durant Inc
• Doctors Clinic of Durant Inc

• Family Medicine Physician in Durant, OK
• Providers in Durant, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.