GARY RAYMOND DENNY (NPI# 1558393637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558393637 |
Entity Type | Individual |
Full Name | GARY RAYMOND DENNY |
Credential | D.O. |
Practice Address |
6333 E Skelly Dr Tulsa OK 74135-6106 |
Mailing Address |
2401 Southwest Blvd Tulsa OK 74107-2726 |
Practice Telephone | 9185611700 |
Practice Fax Number | 9185611701 |
Mailing Telephone | 9185615701 |
Mailing Fax Number | 9185611173 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2019-06-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
2858 | OK | Allopathic & Osteopathic Physicians |
N | 207X00000X | Orthopaedic Surgery | 2858 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 100136930D | 05 | |
OK | MEDICARE | 798213 | 01 |
Street Address |
6333 E SKELLY DR |
City | TULSA |
State | OK |
Zip Code | 74135-6106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053317883 | 12 & 12, Inc. | Substance Abuse Rehabilitation Facility | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2005-06-27 |
1720685175 | Jesse Misthaven | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-07 |
1699372482 | Christine Reynold | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-10-05 |
1679185920 | Kacey Ann Cottrell | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-18 |
1861003931 | Matthew Schane | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-08-12 |
1841817368 | Bernadette Bouciquot | Registered Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-30 |
1568088011 | Brenda Kay Kuntzelman | Licensed Practical Nurse | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-21 |
1023634698 | Kelli Ann Ordorica | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-19 |
1215552120 | Amanda Lindsey Spicer | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-16 |
1619592672 | Tieraney Candice Rodriguez | Case Manager/Care Coordinator | 6333 E Skelly Dr, Tulsa, OK 74135-6106 | 2020-06-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740722115 | Green Country Pain Management | Internal Medicine | 6048-a S Sheridan Rd, Tulsa, OK 74145 | 2016-11-16 |
1447298120 | Bryan Andrew Vandoren | Internal Medicine | 10810 E 45th St Ste 400, Tulsa, OK 74146-3806 | 2006-06-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962601005 | Thomas Wayne Davis | Internal Medicine | 2129 Sw 59th St, Suite 1238, Oklahoma City, OK 73119-7024 | 2007-07-17 |
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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.