MEDICARE: DR. WILLIAM MATTHEW JAMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	E3698	AR
2	208000000X	Pediatrics Physician	26936	OK
3	207R00000X	Internal Medicine Physician	26936	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275591547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MATTHEW JAMES MD

Provider Business Mailing Address
First Line	:	402 W MORROW RD
Second Line	:	SUITE 100
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-6549
Country	:	US
Telephone Number	:	918-245-1328
Fax Number	:	918-293-3181

Provider Business Practice Location Address
First Line	:	402 W MORROW RD
Second Line	:	SUITE 100
City	:	SAND SPRINGS
State	:	OK
Zip	:	74063-6549
Country	:	US
Telephone Number	:	918-245-1328
Fax Number	:	918-293-3181

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/04/2010

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