Active NPI
Michael Dee Gotcher, CNS, ARNP
- Family Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 79164
- Practice address
- 8325 NW Expressway
Oklahoma City, OK 73162-6006 - Phone
- (405) 749-7099
- Fax
- (405) 773-9418
- NPI assigned
- Jan 7, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 79164 | OK | Primary |
| Emergency Clinical Nurse Specialist | 364SE0003X | 73164 | OK |
Addresses
Primary practice location
8325 NW Expressway
Oklahoma City, OK 73162-6006
Mailing address
8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone (405) 749-7099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79164 | Other | OK | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73164 | OK | MD | Emergency Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Services of Oklahoma PC | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Mercy Oklahoma Ambulatory Services LLC | Current | Accepting new patients | |
| Mercy Hospital Logan County, Inc | Current | Accepting new patients | |
| Emergency Physicians of Mid-America, P.C. | Current | Accepting new patients | |
| Oklahoma Emergency Services PC | Current | Accepting new patients | |
| Mercy Hospital Logan County Inc | Current | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients |
Locations
1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100
4345 W Memorial Rd
Ste 110
Oklahoma City, OK 73134
Phone (405) 749-7099
1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270
520 S Mustang Rd
Yukon, OK 73099
Phone (405) 256-6653
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Oklahoma City, OK
- NPI 1063825297
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Critical Access Hospital
- Guthrie, OK
- NPI 1306126818
-
- Urgent Care Clinic/Center
- Moore, OK
- NPI 1922509173
-
- Emergency Medicine Physician
- Lawton, OK
- NPI 1114239795
-
- Rural Health Clinic/Center
- Guthrie, OK
- NPI 1184905507
-
- Rural Health Clinic/Center
- Crescent, OK
- NPI 1659652071
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1306021571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8325 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626006",
"telephone_number": "405-749-7099",
"fax_number": "405-773-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8325 NW EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731626006",
"telephone_number": "405-749-7099",
"fax_number": "405-773-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTCHER",
"first_name": "MICHAEL",
"middle_name": "DEE",
"name_prefix": "Mr.",
"credential": "CNS, ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "79164",
"primary": true
},
{
"code": "364SE0003X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Emergency",
"state": "OK",
"license": "73164",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "79164",
"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 Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.