Provider Demographics
NPI:1831296219
Name:WOODS, WILLIAM MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:
Other - Last Name:WOODS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2430
Mailing Address - Country:US
Mailing Address - Phone:918-338-3740
Mailing Address - Fax:
Practice Address - Street 1:3450 E FRANK PHILLIPS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2430
Practice Address - Country:US
Practice Address - Phone:918-338-3740
Practice Address - Fax:918-331-3761
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK15096207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100112030AMedicaid
OK100112030AMedicaid