Organization Active NPI

C William Lutton MD PC

  • Neurology Physician
  • Muskogee, OK
National Provider Identifier
1831273218
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
18384 Issued in OK
Legal business name
C WILLIAM LUTTON MD PC
Practice address
333 S 38TH St
Suite H
Muskogee, OK 74401-4937
Phone
(918) 683-3702
Fax
(918) 683-3683
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Dr. Charles William Lutton, M.D.
Title
President
Phone
(918) 683-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 18384 OK Primary

Addresses

Primary practice location

333 S 38TH St
Suite H
Muskogee, OK 74401-4937

Mailing address

333 S 38TH St
Suite H
Muskogee, OK 74401-4937
Phone (918) 683-3702

Other identifiers 1

IdentifierTypeStateIssuer
200094350AMedicaidOK

National Provider Directory

National Provider Directory

Locations

333 S 38th St
Ste H
Muskogee, OK 74401
Phone (918) 681-4291

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1831273218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST",
            "address_2": "SUITE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-683-3702",
            "fax_number": "918-683-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST",
            "address_2": "SUITE H",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-683-3702",
            "fax_number": "918-683-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C WILLIAM LUTTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "LUTTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-683-3702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "18384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200094350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.