Organization Active NPI

Mayo Dean Gilson,MD,Inc

  • Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1104835651
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
8854 Issued in OK
Legal business name
MAYO DEAN GILSON,MD,INC
Practice address
12400 Val Verde Dr
Oklahoma City, OK 73142-5436
Phone
(405) 463-0411
Fax
(405) 748-3822
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mayo Dean Gilson, M.D.
Title
President
Phone
(405) 463-0411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 8854 OK Primary

Addresses

Primary practice location

12400 Val Verde Dr
Oklahoma City, OK 73142-5436

Mailing address

12400 Val Verde Dr
Oklahoma City, OK 73142-5436
Phone (405) 463-0411

Other identifiers 1

IdentifierTypeStateIssuer
$$$$$$$$$OtherOKSSN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104835651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 VAL VERDE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425436",
            "telephone_number": "405-463-0411",
            "fax_number": "405-748-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 VAL VERDE DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731425436",
            "telephone_number": "405-463-0411",
            "fax_number": "405-748-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO DEAN GILSON,MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILSON",
        "authorized_official_first_name": "MAYO",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-463-0411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OK",
            "license": "8854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSN",
            "identifier": "$$$$$$$$$",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.