Laura Shannon Gilmore, MD
Individual provider Active NPI General Practice Physician · Carnegie, OK
NPI 1295764108 · NPPES record last updated Nov 26, 2024
Key facts
- NPI
- 1295764108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 22979 (OK)
- Practice address
- 102 N Broadway
Carnegie, OK 73015-9800 - Phone
- (800) 942-2904
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- University of Oklahoma College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mangum City Hospital Authority
Carnegie Tri-County Municipal Hospital Management Inc
Prague Healthcare Authority
Healogics Specialty Physicians of Oklahoma PLLC
Seiling Municipal Hospital Authority
Practice addresses (Care Compare)
1 Wickersham St
Mangum, OK 73554-9117
Phone (580) 782-3353
102 N Broadway
Carnegie, OK 73015-0097
Phone (580) 654-1050
1322 Klabzuba Ave
Prague, OK 74864-4900
Phone (405) 567-4922
2716 W Gore Blvd
Suite C
Lawton, OK 73505-6305
Phone (580) 357-3280
809 NE Hwy 60
Specialty Clinic
Seiling, OK 73663-2705
Phone (580) 377-1005
Hospital & facility affiliations
- Memorial Health
- Carnegie Tri-County Municipal Hospital
- Mangum Regional Medical Center
- Hillcrest Hospital Pryor
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 396 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OK, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060816000485 | OK | Practitioner - General Practice |
8022011899 | Reassigns benefits to 12 organizations |
| I20100823000880 | TX | Practitioner - Internal Medicine |
8022011899 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.206032 | LA | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| N6124 | TX | MD | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician |
| 22979 | OK | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mangum City Hospital Authority | Current |
Accepting new patients | |
| Total Wound Care of Texas LLC | Current |
Accepting new patients | |
| Carnegie Tri-County Municipal Hospital Management, Inc. | Current |
Accepting new patients | |
| Healogics Specialty Physicians of Texas, PLLC | Undersea and Hyperbaric Medicine | Current |
Accepting new patients |
| Paradigm Wound Specialists LLC | Current |
Accepting new patients | |
| Pawhuska Hospital Inc | Current |
Accepting new patients | |
| Carnegie Tri-County Municipal Hospital Management, Inc | General Practice | Current |
Accepting new patients |
| Pawhuska Hospital, Inc. | Current | Accepting new patients | |
| Prague Healthcare Authority | Current |
Accepting new patients | |
| Seiling Municipal Hospital Authority | Current | Accepting new patients | |
| Seiling Municipal Hospital Authority | Current |
Accepting new patients | |
| Mangum City Hospital Authority | Current |
Accepting new patients | |
| Seiling Municipal Hospital Authority | Current |
Accepting new patients | |
| Total Wound Care of Oklahoma, LLC | Current |
Accepting new patients | |
| Prague Healthcare Authority | Current |
Accepting new patients | |
| Healogics Specialty Physicians of Oklahoma, PLLC | Undersea and Hyperbaric Medicine | Current |
Accepting new patients |
| Comanche County Hospital Authority | Past | Accepting new patients | |
| Cah Acquisition Company 9, LLC | Past | Accepting new patients |
Locations
5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686
102 N Broadway St
Carnegie, OK 73015
Phone (580) 654-1050
1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501
1400 Bryan Dr
Ste 205
Durant, OK 74701
Phone (580) 920-9000
2716 W Gore Blvd
Lawton, OK 73505
Phone (380) 357-3280
2716 W Gore Blvd
Ste C
Lawton, OK 73505
Phone (580) 357-3280
1 Wickersham St
Mangum, OK 73554
Phone (580) 782-3353
118 S Louis Tittle Ave
Mangum, OK 73554
Phone (580) 782-2000
1900 NW Expressway
Ste 800
Oklahoma City, OK 73118
Phone (405) 246-0812
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
1101 E 15th St
Pawhuska, OK 74056
Phone (918) 287-3232
1322 Klabzuba Ave
Prague, OK 74864
Phone (405) 567-2295
111 N Bailey St
Pryor, OK 74361
Phone (918) 824-7791
809 NE Highway 60
Seiling, OK 73663
Phone (580) 377-1005
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
3105 E Skelly Dr
Ste 310
Tulsa, OK 74105
Phone (918) 599-7404
8803 S 101st East Ave
Ste 160
Tulsa, OK 74133
Phone (918) 294-2100
1105 Central Expy N
Ste 2210
Allen, TX 75013
Phone (972) 747-4325
3080 College St
Beaumont, TX 77701
Phone (409) 212-5000
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
5575 Warren Pkwy
Ste 115
Frisco, TX 75034
Phone (469) 200-6100
1128 Clarksville St
Ste 50
Paris, TX 75460
Phone (903) 739-7620
12 E Twohig Ave
San Angelo, TX 76903
Phone (325) 340-9899
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/pawhusk-5551a701
- lgilmore119853@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | MD.206032 | LA | |
| General Practice Physician | 208D00000X | N6124 | TX | |
| General Practice Physician | 208D00000X | 22979 | OK | Yes |
| Ophthalmology Physician | 207W00000X | 22979 | OK | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | E7262 | AR | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 22979 | OK | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | N6124 | TX |
Addresses
Primary practice location
102 N Broadway
Carnegie, OK 73015-9800
Mailing address
1813 Abilene CT
Grand Prairie, TX 75052-2200
Phone (405) 474-7757
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200086480B | Medicaid | OK | |
| 22979 | Other | OK | OK LICENSE # |
Other names
- Laura Shannon Williams
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | reddirtmedical@hotmail.com | Direct |
Other providers in Carnegie, OK
- Carnegie Tri-County Municipal Hospital Management, Inc.
- Carneigie Indian Health Clinic
- CL Therapy Inc.
- Cohesive Medical Clinic Carnegie
- Comanche County Healthcare Corp
- Rosanna Diane Gomez
- Troy L Harden
- Richard Satianty Harris
- Brian K Harrison
- Kirk Chandler Harrison
All providers in Carnegie, OK · General Practice Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.