Gary Paddack MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GARY PADDACK MD

Practice address

902 Arlington Ctr
PMB 224
Ada, OK 74820-2883

Phone

(580) 436-2262

Fax

(580) 272-0186

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Gary Paddack, MD

Title

Owner

Phone

(580) 436-2262

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1164571436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ARLINGTON CTR",
            "address_2": "PMB 224",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202883",
            "telephone_number": "580-436-2262",
            "fax_number": "580-272-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ARLINGTON CTR",
            "address_2": "PMB 224",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202883",
            "telephone_number": "580-436-2262",
            "fax_number": "580-272-0186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY PADDACK MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "PADDACK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-436-2262",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034360A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffanie Gariepy
• Destiney Danielle Garner
• Rachel Garner
• Gina Danielle Garrett, DPH
• Joan Garvin
• Michael Gearhart, D.O.
• Tammy Gearhart, RN
• Stacy Crystel Gee
• Genesis Medical PLLC
• Logan Gentry, PT, DPT

• Internal Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.