LAURA SHANNON GILMORE (NPI# 1295764108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295764108 |
| Entity Type | Individual |
| Full Name | LAURA SHANNON GILMORE |
| Other Name | LAURA SHANNON WILLIAMS |
| Credential | MD |
| Practice Address |
111 N Bailey St Pryor OK 74361-4201 |
| Mailing Address |
5220 Belfort Rd Ste 130 Jacksonville FL 32256-6018 |
| Practice Telephone | 9188247901 |
| Practice Fax Number | 9188247900 |
| Mailing Telephone | 9044463701 |
| Mailing Fax Number | 8855079833 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-03-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 22979 | OK | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
MD.206032 | LA | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
E7262 | AR | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
N6124 | TX | Allopathic & Osteopathic Physicians |
| N | 2083P0011X |
Preventive Medicine Specialization: Undersea and Hyperbaric Medicine |
22979 | OK | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 22979 | OK | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | N6124 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OK LICENSE # | 22979 | 01 |
| TX | TX MEDICAL LICENSE | N6124 | 01 |
| TX | TX DPS | P0172984 | 01 |
| OK | OBNDD | 34574 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124257654 | Laura Christine Gilmore | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2009-07-06 |
| 1912951922 | Laura Stewart Gilmore | Physician Assistant | 2420 Jenks Ave, Suite C-1, Panama City, FL 32405-4909 | 2006-05-22 |
| Street Address |
111 N BAILEY ST |
| City | PRYOR |
| State | OK |
| Zip Code | 74361-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811987712 | Dawn M Lovins | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2005-10-24 |
| 1053967083 | Sean Darrieus Grissett | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-15 |
| 1942856042 | Daniel Stockton | Physical Therapy Assistant | 111 N Bailey St, Pryor, OK 74361-4201 | 2019-08-14 |
| 1841724473 | Scarbow Lake Emergency Physicians LLC | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-04-20 |
| 1780125005 | Ahs Pryor Hospital, LLC | General Acute Care Hospital | 111 N Bailey St, Pryor, OK 74361-4201 | 2017-03-20 |
| 1902140718 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-11-16 |
| 1861748576 | Mayes County Hmpn, LLC | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2012-07-31 |
| 1922338425 | David Matthew White | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2010-01-05 |
| 1013147248 | Saran Desiree Oliver | Internal Medicine | 111 N Bailey St, Pryor, OK 74361-4201 | 2009-07-22 |
| 1841460714 | Annette Clair Mills | Nurse Anesthetist, Certified Registered | 111 N Bailey St, Pryor, OK 74361-4201 | 2008-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740787928 | Ahs Pryor Hospital, LLC | Clinic/Center | 1301 Ne 1st St Ste 400, Pryor, OK 74361 | 2018-04-12 |
| 1073029310 | Amber Bowman | Registered Nurse | 109 N. Fairland, Pryor, OK 74361 | 2017-12-22 |
| 1922361096 | Crystal Noel Parrett | Counselor | 215 N. Fairland, Pryor, OK 74361 | 2012-06-22 |
| 1447516703 | Rocky Mountain Holdings LLC | Ambulance | 591 Airport Rd, Pryor, OK 74361 | 2012-04-11 |
| 1356673180 | Tressa Fern Rice | Speech-Language Pathologist | 510 S. Elliott St. Suite C, Mayes County Speech Therapy, Pryor, OK 74361 | 2010-02-04 |
| 1083945208 | Ladena Carol Moore | Counselor | 212 S E 1st, Pryor, OK 74361 | 2010-01-28 |
| 1164753323 | Anita K Sanders | Counselor | 212 Se 1st, Pryor, OK 74361 | 2010-01-27 |
| 1619203775 | Sandra Kay Runnells | Psychologist | 109 South Fairland, Suite 101, Pryor, OK 74361 | 2009-10-26 |
| 1972838969 | Ramona L Whitehurst | Advanced Practice Midwife | 1400 Willow Road, Pryor, OK 74361 | 2009-10-08 |
| 1396971297 | Shauna Leann Jackson | Speech-Language Pathologist | 510 S. Elliott, Suite C, Pryor, OK 74361 | 2009-06-05 |
| Find all providers in zip 74361 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1669080891 | Prairie Gardens Medical LLC | General Practice | 1213 Nw 122nd St Ste 401, Oklahoma City, OK 73114-7000 | 2020-07-14 |
| 1801431135 | Cristina Elisa Collazo-suarez | General Practice | 401 Nw 76th St, Lawton, OK 73505-5338 | 2019-11-11 |
| 1578117859 | Tulsa Wellness Management, LLC | General Practice | 3501 S Yale Ave Ste A, Tulsa, OK 74135-8014 | 2019-07-25 |
| 1053875781 | Oumi Clinics LLC | General Practice | 1200 Childrens Ave Ste 11200, Oklahoma City, OK 73104-4637 | 2019-01-28 |
| 1902396294 | Gail Renee Marchant | General Practice | 8784 E 105th Ct, Tulsa, OK 74133-7063 | 2018-05-13 |
| 1528578499 | Revive Medical LLC | General Practice | 4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118 | 2017-10-05 |
| 1992214548 | Lifestyle Medical Center, Pllc | General Practice | 4505 S Harvard Ave, Tulsa, OK 74135-2905 | 2017-09-27 |
| 1265884449 | Turning Point Health LLC | General Practice | 736 W Main St, Jenks, OK 74037-3519 | 2016-07-12 |
| 1891149647 | Daniel Enriquez | General Practice | 1040 7050 S Air Depot Blvd, Oklahoma City, OK 73135 | 2016-04-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.