Dennis Avery Williams, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

4141 Issued in OK

Practice address

1400 E Downing St
Tahlequah, OK 74464-3324

Phone

(918) 456-0641

NPI assigned

Aug 1, 2006

Reactivated

Dec 9, 2019

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 and National Provider Directory roles.

• Northstar Anesthesia of Oklahoma, PLLC

  • Anesthesiology Physician
  • Arlington, TX
  • NPI 1043516628

  OK

  Medicare reassignment NPD
• Emergenchealth PLLC

  • Anesthesiology Physician
  • Fort Worth, TX
  • NPI 1467970897

  OK

  Medicare reassignment
• BMC Anesthesia PC

  • Anesthesiology Physician
  • Owasso, OK
  • NPI 1801829387
  NPD (past)
• Greater Tulsa Anesthesiologists PLLC

  • Anesthesiology Physician
  • Tulsa, OK
  • NPI 1376538140
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1841206364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 W 68TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741321763",
            "telephone_number": "918-446-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENNIS",
        "middle_name": "AVERY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "deactivation_date": "2019-10-31",
        "reactivation_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200089720A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilkerson Eye Care, PLLC
• David Allen Wilkerson, PHARM.D
• Jessica L Wilkie-Goodman
• Jennifer Cheyanne Wilkie, DO
• Leonard Wilkins, O.D.
• Eddie Williams
• Leslie Williams, CNM
• Mackenzie Williams
• Sally R Williams, LPC
• Skylar Williams, DO

• Anesthesiology Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.