Laura S Gilmore MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

LAURA S GILMORE MD PC

Practice address

102 N Broadway
Carnegie, OK 73015

Phone

(580) 654-1050

Fax

(580) 654-9979

NPI assigned

Jul 2, 2006

Last updated

Jan 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Shannon Gilmore, MDNPI 1295764108

Title

Owner

Phone

(580) 465-2901

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Shannon Gilmore, MD

  • General Practice Physician
  • Carnegie, OK
  • NPI 1295764108
  Authorized official Same address or phone

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1164451084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 ABILENE CT",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522200",
            "telephone_number": "405-474-7757",
            "fax_number": "405-410-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N BROADWAY",
            "city": "CARNEGIE",
            "state": "OK",
            "postal_code": "73015",
            "telephone_number": "580-654-1050",
            "fax_number": "580-654-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURA S GILMORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-465-2901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200086460A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID INDIVIDUAL #",
            "identifier": "200086480A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN #",
            "identifier": "242623001",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "reddirtmedical@hotmail.com",
            "affiliation": "N",
            "address_1": "102 N BROADWAY",
            "city": "CARNEGIE",
            "state": "OK",
            "country_code": "US",
            "postal_code": "73015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sherri Geanette Hilburn
• Lanita Horse
• Chaz K Hurt, DPH
• Joseph E. Furtado, DDS.Inc
• Lisa Kerr
• Christopher Dale Lawrence
• Christie Arnold Leal, D.O.
• Liberty Dental, Inc.
• Ronald L. Hill, M. D., Inc.
• Ryan Stevens, DPH

• Specialist in Carnegie, OK
• Providers in Carnegie, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.