Paul S. Gillum, MD, PC

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

18048 Issued in OK

Legal business name

PAUL S. GILLUM, MD, PC

Practice address

2413 Palmer Cir
Norman, OK 73069-6301

Phone

(405) 360-9588

Fax

(405) 321-5348

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul S Gillum, MDNPI 1982602025

Title

Owner

Phone

(405) 360-9588

Specialties & licenses 1

Addresses

Other names 1

• Oklahoma Dermatology Institute Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Stevens Gillum, M.D.

  • Dermatopathology Physician
  • Norman, OK
  • NPI 1982602025
  NPD (past) Authorized official

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1407024367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-360-9588",
            "fax_number": "405-321-5348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 PALMER CIR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696301",
            "telephone_number": "405-360-9588",
            "fax_number": "405-321-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S. GILLUM, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "GILLUM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-360-9588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "OK",
            "license": "18048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oklahoma Dermatology Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Edward Patterson Jr., APN
• Kennedy Patterson
• Craig Wayne Patton, APRN
• Janet M Patton, LPC
• Jeremy Wayne Patton, RBT
• Paula Mitchell Therapy, LLC
• Tiffiny Renee Payton
• Peace Homecare, LLC.
• Ryan Peacock, C.R.N.A.
• Amy Pearcy

• Dermatopathology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Dermatopathology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.