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Deactivated NPI 1639161623 Deactivated / Inactive NPI Male Practitioner

Dr. William Polk Richardson , MD

Surgery • Wagoner, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Richardson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 17, 2005
NPI Deactivation Date July 26, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. William Richardson, MD was a registered Surgery practicing in Wagoner, OK. Throughout an active medical career spanning 13 years, Dr. Richardson provided care at the practice location at 1200 W CHEROKEE ST until profile deactivation on 2018-07-26.

Practice Location & Contact Primary Location

Practice Address

1200 W Cherokee St

Wagoner, OK 744674624

Telephone 9184855514
Associated Practice Facility / Clinic
🏢 Jeff S. Jennings, Do, Pllc Facility NPI 1356332886

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wagoner, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Wagoner, OK (386 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OK 23609

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Nichole Nichols

Case Manager/Care Coordinator

NPI 1023947660
Dr. Bryan Hanna , MD

Family Medicine

NPI 1457317497

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 26, 2018

Record deactivated on July 26, 2018

NPI Profile Active August 01, 2013

NPI status registered as active in NPPES database

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Updated Practice Location August 01, 2013

Registered at 1200 W CHEROKEE ST, WAGONER, OK 744674624 (Tel: 9184855514)

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Updated Business Mailing Address August 01, 2013

Registered at 1200 W CHEROKEE ST, WAGONER, OK 744674624 (Tel: 9184855514)

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Provider Name / Credentials Updated August 01, 2013

Recorded as WILLIAM RICHARDSON, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2013

Surgery (License #23609 in OK)

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Initial NPI Registration & Enumeration August 17, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639161623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2005
Last Update: August 01, 2013
Deactivation Date: July 26, 2018

Mailing Address

1200 W Cherokee St

Wagoner, OK 744674624

Phone: 9184855514

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.