Individual provider Active NPI

Gisele Catherine Wilke, M.D.

  • Anesthesiology Physician
  • Tulsa, OK
National Provider Identifier
1255336947
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
23312 Issued in OK
Practice address
6839 S Canton Ave
Tulsa, OK 74136-3402
Phone
(918) 494-0612
Fax
(918) 494-1881
NPI assigned
Jun 17, 2005
Last updated
Apr 22, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 23312 OK Primary

Addresses

Primary practice location

6839 S Canton Ave
Tulsa, OK 74136-3402

Mailing address

6839 S Canton Ave
Tulsa, OK 74136-3402
Phone (918) 494-0612

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220720001160 NY Practitioner - Anesthesiology 0648304931 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore - Lij Anesthesiology, PCGroup PAC ID 1153602453, 990 clinicians

Practice addresses (Care Compare)

195 E Main St
Huntington, NY 11743-2957
Phone (914) 666-8866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314273NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Anesthesiology, PC Anesthesiology CurrentSince May 16, 2022 Accepting new patients
Office Based Anesthesia LLC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Long Island Digestive Endoscopy Center, LLC CurrentSince Apr 27, 2024 Accepting new patients
Lighthouse Endoscopy, PC CurrentSince Jun 22, 2024 Accepting new patients
Suffolk Anesthesiology Associates, PC Anesthesiology CurrentSince Jan 1, 2024 Accepting new patients
Northwest Anesthesia Physicians PC Anesthesiology Past Accepting new patients
Robert M Lazar MD PC PastSince Feb 6, 2022 Accepting new patients

Locations

185 Central Ave
Bethpage, NY 11714
Phone (516) 733-7100

1092 Jericho Tpke
Ste 2S
Commack, NY 11725
Phone (631) 543-8660

28 Research Way
East Setauket, NY 11733
Phone (631) 380-2710

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

975 Stewart Ave
Garden City, NY 11530
Phone (516) 222-8600

488 Great Neck Rd
Great Neck, NY 11021
Phone (516) 466-1151

195 E Main St
Huntington, NY 11743
Phone (631) 385-8677

200 Old Country Rd
Mineola, NY 11501
Phone (516) 408-4900

61 Southern Blvd
Nesconset, NY 11767
Phone (631) 659-1700

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 8

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 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1255336947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 S CANTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-494-0612",
            "fax_number": "918-494-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 S CANTON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363402",
            "telephone_number": "918-494-0612",
            "fax_number": "918-494-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKE",
        "first_name": "GISELE",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OK",
            "license": "23312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.