MEDICARE: WILLIAM PATRICK TINKER M.D.

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	207RC0000X	Cardiovascular Disease Physician	14085	OK
2	207RC0000X	Cardiovascular Disease Physician	0421213	KS
3	207RC0000X	Cardiovascular Disease Physician	04-21213	KS

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	:	1841253259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM PATRICK TINKER M.D.

Provider Business Mailing Address
First Line	:	3460 E FRANK PHILLIPS BLVD
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2406
Country	:	US
Telephone Number	:	918-332-3600
Fax Number	:	918-332-3613

Provider Business Practice Location Address
First Line	:	3400 SE FRANK PHILLIPS
Second Line	:	STE 502
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2495
Country	:	US
Telephone Number	:	918-331-2577
Fax Number	:	918-331-2513

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

Provider Enumeration Date	:	04/07/2006
Last Update Date	:	10/03/2017

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Directions to “ WILLIAM PATRICK TINKER M.D.” Practice Location

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