Active NPI
Mayo Dean Gilson,MD,Inc
- Gynecology Physician
- Oklahoma City, OK
National Provider Identifier
1104835651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 8854
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| $$$$$$$$$ | Other | OK | SSN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104835651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 VAL VERDE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731425436",
"telephone_number": "405-463-0411",
"fax_number": "405-748-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 VAL VERDE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731425436",
"telephone_number": "405-463-0411",
"fax_number": "405-748-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAYO DEAN GILSON,MD,INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GILSON",
"authorized_official_first_name": "MAYO",
"authorized_official_middle_name": "DEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-463-0411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "OK",
"license": "8854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SSN",
"identifier": "$$$$$$$$$",
"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.