Individual provider Active NPI

William Patrick Gideon, WILLIAM

  • Obstetrics & Gynecology Physician
  • Norman, OK
National Provider Identifier
1902387475
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
9173 Issued in OK
Practice address
4617 Summerfield CT
Norman, OK 73072-3934
Phone
(405) 579-4959
NPI assigned
Aug 23, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 9173 OK Primary

Addresses

Primary practice location

4617 Summerfield CT
Norman, OK 73072-3934

Mailing address

4617 Summerfield CT
Norman, OK 73072-3934
Phone (405) 579-4959

Other practice location 1

4617 Summerfield Ct
Norman, OK 73072-3934
Phone (405) 579-4959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9173OKMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1902387475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 SUMMERFIELD CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723934",
            "telephone_number": "405-579-4959",
            "fax_number": "405-579-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 SUMMERFIELD CT",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730723934",
            "telephone_number": "405-579-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4617 Summerfield Ct",
            "address_purpose": "LOCATION",
            "city": "Norman",
            "state": "OK",
            "postal_code": "730723934",
            "country_code": "US",
            "telephone_number": "405-579-4959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIDEON",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "9173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.