NPIMap

Individual provider Active NPI

Darin Alan Gwartney, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Pryor, OK
National Provider Identifier
1003107855
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
5219 Issued in OK
Practice address
1301 NE 1St St
Suite 400
Pryor, OK 74361-8850
Phone
(918) 824-7714
Fax
(918) 824-6412
NPI assigned
Apr 27, 2011
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X OS017248 PA
Sports Medicine (Family Medicine) Physician 207QS0010X 5219 OK Primary

Addresses

Primary practice location

1301 NE 1St St
Suite 400
Pryor, OK 74361-8850

Mailing address

1301 NE 1St St
Suite 400
Pryor, OK 74361-8850
Phone (918) 824-7714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151209000294 OK Practitioner - Family PracticePractitioner - Sports Medicine 7618278037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ahs Pryor Hospital, LLCGroup PAC ID 3072880624, 7 clinicians

Practice addresses (Care Compare)

1301 NE 1St St
Suite 400
Pryor, OK 74361-8851
Phone (918) 824-7714

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS017248PAMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Oklahoma Physician Group LLC CurrentSince May 1, 2017 Accepting new patients
Ahs Pryor Hospital, LLC Current Accepting new patients
Ahs Oklahoma Physician Group, LLC CurrentSince May 1, 2017 Accepting new patients
Mayes County HMPN, LLC Past Accepting new patients

Locations

1301 NE 1st St
Ste 200
Pryor, OK 74361
Phone (918) 824-7767

1301 NE 1st St
Ste 400
Pryor, OK 74361
Phone (918) 824-7714

562 S Elliott St
Pryor, OK 74361
Phone (918) 824-8000

20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675

Dept 1206
Tulsa, OK 74182

Networks

  • devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Interoperability endpoints

  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1003107855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 NE 1ST ST",
            "address_2": "SUITE 400",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743618850",
            "telephone_number": "918-824-7714",
            "fax_number": "918-824-6412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 NE 1ST ST",
            "address_2": "SUITE 400",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743618850",
            "telephone_number": "918-824-7714",
            "fax_number": "918-824-6412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GWARTNEY",
        "first_name": "DARIN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-27",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS017248",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OK",
            "license": "5219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pryor, OK

Sources for this page

Verify at the official NPI Registry.