PAUL S. GILLUM, MD, PC (NPI# 1407024367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407024367 |
| Entity Type | Organization |
| Organization Name | PAUL S. GILLUM, MD, PC |
| Other Organization Name | OKLAHOMA DERMATOLOGY INSTITUTE |
| Practice Address |
2413 Palmer Cir Norman OK 73069-6301 |
| Practice Telephone | 4053609588 |
| Practice Fax Number | 4053215348 |
| Mailing Telephone | 4053609588 |
| Mailing Fax Number | 4053215348 |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |
| Authorized Official Name | DR. PAUL S GILLUM (OWNER) |
| Authorized Official Telephone | 4053609588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
18048 | OK | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Oklahoma Dermatology Institute | Doing Business As Name - Organization |
| Street Address |
2413 PALMER CIR |
| City | NORMAN |
| State | OK |
| Zip Code | 73069-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016169 | Thomas Duke Urice | Specialist | 2413 Palmer Cir, Norman, OK 73069-6301 | 2005-07-12 |
| 1093148488 | Thomas D. Urice M.d. LLC | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2013-08-21 |
| 1659652576 | Jennifer B. Roberts, Md, Pllc | Specialist | 2413 Palmer Cir, Norman, OK 73069-6301 | 2011-09-06 |
| 1215116975 | David K Duncan | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2007-10-30 |
| 1871799619 | Jennifer Carol Barnes Roberts | Dermatology | 2413 Palmer Cir, Norman, OK 73069-6301 | 2007-06-26 |
| 1982602025 | Paul Stevens Gillum | Specialist | 2413 Palmer Cir, Norman, OK 73069-6301 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1063030088 | Kristal Ladawn Vasquez | Nurse Practitioner | 4019 North Flood Ave, Normam, OK 73069 | 2020-07-07 |
| 1841828290 | Cheryl Renee Stoepker | Nurse Practitioner | 3441 24th Ave Nw, Norman, OK 73069 | 2020-03-31 |
| 1427689215 | Bodyworx Primary Care, LLC | Nurse Practitioner | 4019 N Flood Ave, Norman, OK 73069 | 2020-01-30 |
| 1528539376 | Monika Potdar | Pharmacist | 2550 Mount Williams Dr, Norman, OK 73069 | 2018-12-05 |
| 1861962193 | Bethany Spring Browne | Physician Assistant | 209 Hal Muldrow Dr, Apt 7, Norman, OK 73069 | 2018-11-29 |
| 1528536109 | Summit Health and Wellness Center LLC | Counselor | 2770 Washington Dr, Suite 100, Norman, OK 73069 | 2018-11-13 |
| 1386121960 | Sarah Lawhead | Case Manager/Care Coordinator | 525 Dakota St, Norman, OK 73069 | 2018-07-25 |
| 1528554433 | Katie Blankenship | Occupational Therapist | 330 W Grey Street 100-2, Norman, OK 73069 | 2018-07-03 |
| 1568918886 | Brandi Deerinwater | Case Manager/Care Coordinator | 321 S Peters, Norman, OK 73069 | 2016-08-28 |
| Find all providers in zip 73069 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306101894 | Maria Deschaine | Dermatology | 800 Stanton L Young Blvd # 6400, Oklahoma City, OK 73104-5018 | 2012-07-10 |
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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.