DR. JAY K GANNAWAY (NPI# 1609847086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609847086 |
| Entity Type | Individual |
| Full Name | DR. JAY K GANNAWAY |
| Credential | MD |
| Practice Address |
4833 Integris Pkwy Suite 150 Edmond OK 73034-8864 |
| Mailing Address |
5300 N Independence Ave 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4056573990 |
| Practice Fax Number | 4054710039 |
| Mailing Telephone | 4056573990 |
| Mailing Fax Number | 4054710039 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2017-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 12885 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100129670A | 05 |
| Street Address |
4833 INTEGRIS PKWY SUITE 150 |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-8864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295726719 | Joshua P Carey | Surgery | 4833 Integris Pkwy, Suite 350, Edmond, OK 73034 | 2005-11-03 |
| 1518396860 | Kevin Teal, M.d., P.C. | Neurological Surgery | 4833 Integris Pkwy, Ste 200, Edmond, OK 73034-8864 | 2013-11-07 |
| 1528327442 | Katherine Luthey Shepherd | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2012-05-11 |
| 1205107737 | Samantha Klepper | Physical Therapist | 4833 Integris Pkwy, Suite 100, Edmond, OK 73034-8864 | 2012-01-13 |
| 1275814337 | Integris Prohealth Inc | Pharmacy | 4833 Integris Pkwy, Suite 130, Edmond, OK 73034-8864 | 2011-09-02 |
| 1982999637 | Courtney Seacat | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2011-06-10 |
| 1841453446 | Robb Alan Schiermeyer | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2008-07-03 |
| 1174781926 | John B Gruel | Orthopaedic Surgery | 4833 Integris Pkwy, Suite 150, Edmond, OK 73034-8864 | 2008-05-29 |
| 1457532046 | Dena Elaine O'leary | Obstetrics & Gynecology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2007-11-25 |
| 1962514455 | Laura Diane Stearman | Urology | 4833 Integris Pkwy, Suite 200, Edmond, OK 73034-8864 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154504264 | David Alan Rhodes | Orthopaedic Surgery | 4833 Integris Pkwy Ste 150, Edmond, OK 73034-8864 | 2007-12-12 |
| 1871608497 | Charles David Wood | Orthopaedic Surgery | 2017 W I 35 Frontage Rd Ste 250, Edmond, OK 73013 | 2006-08-21 |
| 1427083609 | Joel Scott Tupper | Orthopaedic Surgery | 1913 W 33rd St, Suite 110, Edmond, OK 73013-3879 | 2006-07-12 |
| 1215917778 | William J. Hale II | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013-8504 | 2006-01-20 |
| 1427044015 | Rick D Beller | Orthopaedic Surgery | 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013-3084 | 2005-09-20 |
| 1063994853 | University of Central Oklahoma | Orthopaedic Surgery | 100 N University Dr, Edmond, OK 73034-5207 | 2018-08-29 |
| 1003354689 | Memorial Hospital of Texas County Authority | Orthopaedic Surgery | 1800 Renaissance Blvd, Second Floor Tower, Suite 210, Edmond, OK 73013-3023 | 2017-02-03 |
| 1184179988 | Zeiders Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 210, Edmond, OK 73013-3023 | 2016-08-22 |
| 1821231929 | Tupper Orthopedics Pllc | Orthopaedic Surgery | 1800 Renaissance Blvd, Suite 200, Edmond, OK 73013-3023 | 2009-04-20 |
| 1982863254 | Jonathan Henry Capelle | Orthopaedic Surgery | 2017 W I 35 Frontage Rd, Suite 250, Edmond, OK 73013-8504 | 2008-06-03 |
| Find all providers in EDMOND | ||||
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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.