Healthcare Provider Details

I. General information

NPI: 1467751016
Provider Name (Legal Business Name): JOSHUA D. WHORTON, M.D., PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2011
Last Update Date: 03/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 N PORTER SUITE 200
NORMAN OK
73071-6649
US

IV. Provider business mailing address

1515 N PORTER SUITE 200
NORMAN OK
73071-6649
US

V. Phone/Fax

Practice location:
  • Phone: 405-366-8619
  • Fax: 405-366-1839
Mailing address:
  • Phone: 405-366-8619
  • Fax: 405-366-1839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number23910
License Number StateOK

VIII. Authorized Official

Name: SUSIE HUFFMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 405-366-8619