Linda D. Williamson, MD, PC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

19134 Issued in OK

Legal business name

LINDA D. WILLIAMSON, MD, PC

Practice address

2502 W Gore Blvd
Lawton, OK 73505-6315

Phone

(580) 248-5437

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Ardell C Garland III

Title

Office Manager

Phone

(580) 248-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1831374115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056315",
            "telephone_number": "580-248-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056315",
            "telephone_number": "580-248-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA D. WILLIAMSON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "GARLAND",
        "authorized_official_first_name": "ARDELL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-248-5437",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OK",
            "license": "19134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306844816",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Lawton, OK
• Providers in Lawton, OK by specialty
• Preferred Provider Organization in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.