NPIMap

Individual provider Active NPI

Gavin Vanwey Gardner, DO

  • Emergency Medicine Physician
  • Owasso, OK
National Provider Identifier
1437357175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4296 Issued in OK
Practice address
9303 N 101St East Ave
Owasso, OK 74055-6841
Phone
(918) 557-2658
NPI assigned
Jul 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4296 OK Primary

Addresses

Primary practice location

9303 N 101St East Ave
Owasso, OK 74055-6841

Mailing address

9303 N 101St East Ave
Owasso, OK 74055-6841
Phone (918) 557-2658

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070822000618 OK Practitioner - Emergency Medicine 8325130388 Reassigns benefits to 3 organizations
I20141231000188 TX Practitioner - Emergency Medicine 8325130388

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma State UniversityGroup PAC ID 2769739358, 110 clinicians

Practice addresses (Care Compare)

2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma State University Current Accepting new patients
Oklahoma State University CurrentSince Apr 1, 2024 Accepting new patients
McAlester Regional Health Center Authority CurrentSince Mar 14, 2024 Accepting new patients
Oklahoma State University Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Ies ER Oklahoma LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients
Norstar Emergency Physicians Past Accepting new patients
Swallowtail Emergency Physicians Emergency Medicine Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients

Locations

1 E Clark Bass Blvd
McAlester, OK 74501
Phone (918) 421-6941

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Dept 2563
Tulsa, OK 74182

10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000

2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980

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.

Hospital & facility affiliations 5

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": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437357175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 N 101ST EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556841",
            "telephone_number": "918-557-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9303 N 101ST EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556841",
            "telephone_number": "918-557-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "GAVIN",
        "middle_name": "VANWEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owasso, OK

Sources for this page

Verify at the official NPI Registry.