NPIMap

Organization Active NPI

Williams Medical Group Practice, LLC

Doing business as Integrity Urgent Care

  • Rural Health Clinic/Center
  • Glenpool, OK
National Provider Identifier
1821867557
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Doing business as
Integrity Urgent Care
Practice address
12190 S Waco Ave Ste C
Glenpool, OK 74033-5661
Phone
(918) 936-2882
NPI assigned
Dec 21, 2023
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
David Wayne Pyle
Title
Ceo
Phone
(469) 688-0750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

12190 S Waco Ave Ste C
Glenpool, OK 74033-5661

Mailing address

777 NW 63Rd St FL 2
Oklahoma City, OK 73116-7601
Phone (405) 724-0574

Other names 1

  • Integrity Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214002835 OK Part A Provider - Rural Health Clinic 3375832157 Practice locations: Glenpool, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821867557. Details of each certification follow.

Rural health clinic certification: CCN 373908

Legal name
WILLIAMS MEDICAL GROUP PRACTICE, LLC
Doing business as
XPRESS WELLNESS URGENT CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 9, 2024
Last certification
May 9, 2024
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Dec 9, 2015 in KS
Enrollment address
12190 S Waco Ave
Ste C
Glenpool, OK 74033-5661

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
37D2299204Xpress Wellness Urgent Care12190 S Waco Ave, Ste C, Glenpool, OK 74033Certificate of waiverFeb 14, 2028

National Provider Directory

National Provider Directory
Tax ID family
Williams Medical Group LLC36 organizations share this tax ID, including this one

Other organizations with this tax ID 35

Organizations that report the same tax identification number in the National Provider Directory.

View all 35

Locations

1805 E 17th Ave
Hutchinson, KS 67501
Phone (620) 615-7197

1675 12th Ave NW
Ardmore, OK 73401
Phone (580) 798-0234

4475 E Waterloo Rd
Edmond, OK 73034
Phone (405) 531-3835

1602 Highway 9 E
Seminole, OK 74868
Phone (405) 716-9077

1303 N Washington St
Weatherford, OK 73096
Phone (580) 772-2820

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph M Moore Individual 5% Or Greater Direct Ownership InterestMD Aug 21, 2023 49%
Xpress Wellness LLC Organization, Oklahoma City, OK Management services company Operational/Managerial Control Jul 20, 2018
Tony Hill Individual 5% Or Greater Direct Ownership InterestD.O./Cmo Aug 21, 2023 51%
Corporate OfficerChief Medical Officer Nov 1, 2022
W-2 Managing EmployeeMD; Nov 1, 2022 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Tony R Hill, DO
    • Emergency Medical Services (Emergency Medicine) Physician
    • Broken Arrow, OK
    • NPI 1295723245

    5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

    CMS ownership
  • Joseph Michael Moore, MD
    • Internal Medicine Physician
    • Tulsa, OK
    • NPI 1104853142

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

Practitioners & affiliated clinicians

Practitioners 5

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": "1703116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1821867557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 63RD ST FL 2",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167601",
            "telephone_number": "405-724-0574",
            "fax_number": "405-849-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12190 S WACO AVE STE C",
            "city": "GLENPOOL",
            "state": "OK",
            "postal_code": "740335661",
            "telephone_number": "918-936-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS MEDICAL GROUP PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-21",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "PYLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-688-0750"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glenpool, OK

Sources for this page

Verify at the official NPI Registry.