Active NPI
Stephen John Gawey, M.D.
- Internal Medicine Physician
- Tulsa, OK
National Provider Identifier
1306860820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12708
- Practice address
- 1819 E 19TH St
Suite 302
Tulsa, OK 74104-5414 - Phone
- (918) 742-0552
- Fax
- (918) 747-3177
- NPI assigned
- Jul 27, 2006
- Last updated
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12708 | OK | Primary |
Addresses
Primary practice location
1819 E 19TH St
Suite 302
Tulsa, OK 74104-5414
Mailing address
PO Box 21052
Lockbox 22410
Tulsa, OK 74121-1052
Phone (918) 742-0552
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100095100A | Medicaid | OK |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Specialty Infusion LLC | Current | Accepting new patients |
Locations
11101 Hefner Pointe Dr
Ste 204
Oklahoma City, OK 73120
Phone (405) 936-1000
2300 E 14th St
Ste 200
Tulsa, OK 74104
Interoperability endpoints
- stephen.gawey@direct.stjohnhealthsystem.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Tulsa, OK
- NPI 1184704348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1306860820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21052",
"address_2": "LOCKBOX 22410",
"city": "TULSA",
"state": "OK",
"postal_code": "741211052",
"telephone_number": "918-742-0552",
"fax_number": "918-747-3177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 E 19TH ST",
"address_2": "SUITE 302",
"city": "TULSA",
"state": "OK",
"postal_code": "741045414",
"telephone_number": "918-742-0552",
"fax_number": "918-747-3177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWEY",
"first_name": "STEPHEN",
"middle_name": "JOHN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "12708",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100095100A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.