Willie Street, P.A.-C
NPI 1215005244 · Physician Assistant · Tonkawa, OK
Willie Street, P.A.-C is a Physician Assistant provider in Tonkawa, OK (NPI 1215005244).
Provider details
- NPI number
- 1215005244
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 631 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2012-03-07
Frequently asked questions
- What is Willie Street's NPI number?
- Willie Street's National Provider Identifier (NPI) is 1215005244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Willie Street's specialty?
- Willie Street is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Willie Street located?
- Willie Street's practice location on file with NPPES is 600 E Grand Ave, Tonkawa, OK 74653-3545.
- What is Willie Street's phone number?
- The practice phone number listed in the NPPES registry for Willie Street is (580) 628-4800.
- Is Willie Street's NPI active?
- Yes — Willie Street's NPI (1215005244) is active in the NPPES registry as of the last update on 2012-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.