David Evans De Gaston, M.D.
Individual provider Active NPI Family Medicine Physician · Del City, OK
NPI 1457701609 · NPPES record last updated Jun 27, 2019
Key facts
- NPI
- 1457701609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32239 (OK)
- Practice address
- 4801 SE 15TH St Ste 300
Del City, OK 73115-3918 - Phone
- (405) 702-9400
- Fax
- (405) 702-9437
- NPI assigned
- Jun 20, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integris Ambulatory Care Corporation
Great Plains Medical Foundation
Practice addresses (Care Compare)
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
3625 NW 56TH St
Suite 200
Oklahoma City, OK 73112-4509
Phone (405) 951-2855
Hospital & facility affiliations
- Family Choice Home Care Oklahoma City
- Integris Home Care Oklahoma City
- Integris Southwest Medical Center
- Integris Baptist Medical Center, Inc
- SSM Health St Anthony Hospital - Midwest
- Integris Health Edmond Hospital
- O U Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- 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 |
|---|---|---|---|---|
| I20190727000128 | OK | Practitioner - Family Practice | 6305139023 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Family Medicine | Current |
Accepting new patients |
| Great Plains Medical Foundation | Family Medicine | Current |
Accepting new patients |
| Summit Medical Center | Past | Accepting new patients | |
| Integris South Oklahoma City Hospital Corporation | Past | Accepting new patients | |
| Integris Ambulatory Care C Orporation | Family Medicine | Past | Accepting new patients |
Locations
4801 SE 15th St
Ste 300
Del City, OK 73115
Phone (405) 702-9400
4801 SE 15th St
#300
Del City, OK 73115
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3625 NW 56th St
Ste 200
Oklahoma City, OK 73112
Phone (405) 951-2855
Interoperability endpoints
- ddegaston44058@direct.integrisok.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32239 | OK | Yes |
Addresses
Primary practice location
4801 SE 15TH St Ste 300
Del City, OK 73115-3918
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (405) 702-9400
Other providers in Del City, OK
- Rosalind Cravens
- Daniel Max & Marc Andrea LLC
- Tessie Danker
- Etta Pearl Davis
- Jennifer Renee Davis
- Seana Dean
- Deep Thoughts and Wellness Center
- Del City Nursing Center, LLC
- Dental Depot of del City, PLLC
- Dental Depot Orthodontics del City, PLLC
All providers in Del City, OK · Family Medicine 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 Jun 27, 2019. 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.