Organization Active NPI

Julie L Wiley DO PLLC

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1992372247
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JULIE L WILEY DO PLLC
Practice address
10400 S Western Ave Ste 7
Oklahoma City, OK 73139-3017
Phone
(405) 632-7256
Fax
(405) 632-5024
NPI assigned
Jun 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Authorized official

Name
Stacey L Dill
Title
Billing Manager
Phone
(405) 735-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

10400 S Western Ave Ste 7
Oklahoma City, OK 73139-3017

Mailing address

10400 S Western Ave Ste 7
Oklahoma City, OK 73139-3017
Phone (405) 632-7256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118001798 OK Part B Supplier - Clinic/Group Practice 5395134084 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

11001 S Western Ave
Ste 300
Oklahoma City, OK 73170
Phone (405) 339-0204

1510 SW 119th St
Oklahoma City, OK 73170
Phone (405) 339-0204

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623024000000",
    "number": "1992372247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 S WESTERN AVE STE 7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731393017",
            "telephone_number": "405-632-7256",
            "fax_number": "405-632-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 S WESTERN AVE STE 7",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731393017",
            "telephone_number": "405-632-7256",
            "fax_number": "405-632-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE L WILEY DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-07",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "DILL",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "405-735-9700"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.