Provider Demographics
NPI:1841253259
Name:TINKER, WILLIAM PATRICK (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:PATRICK
Last Name:TINKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3460 E FRANK PHILLIPS BLVD
Mailing Address - Street 2:
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2406
Mailing Address - Country:US
Mailing Address - Phone:918-332-3600
Mailing Address - Fax:918-332-3613
Practice Address - Street 1:3400 SE FRANK PHILLIPS
Practice Address - Street 2:STE 502
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2495
Practice Address - Country:US
Practice Address - Phone:918-331-2577
Practice Address - Fax:918-331-2513
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK14085207RC0000X
KS0421213207RC0000X
KS04-21213207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100221710AMedicaid
KS100198770BMedicaid
OK$$$$$$$$$AMedicare PIN
KS100198770BMedicaid
D35356Medicare UPIN
OK100221710AMedicaid