Active NPI
Gary C Hill MD Inc
- Specialist
- Edmond, OK
National Provider Identifier
1467557991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 11505
- Legal business name
- GARY C HILL MD INC
- Doing business as
- Gary C Hill MD Inc
- Practice address
- 200 N Bryant Ave Ste 100
Edmond, OK 73034-6273 - Phone
- (405) 359-9669
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary C Hill, MD
- Title
- Owner
- Phone
- (405) 359-9669
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 11505 | OK | Primary |
Addresses
Primary practice location
200 N Bryant Ave Ste 100
Edmond, OK 73034-6273
Mailing address
200 N Bryant Ave Ste 100
Edmond, OK 73034-6273
Phone (405) 359-9669
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568428696 | Other | OK | MEDICARE INDIVIDUAL NPI |
| OKA103535 | Other | OK | MEDICARE INDIVIDUAL PTAN |
| 100123190A*21 | Medicaid | OK | |
| 1467557991 | Other | OK | MEDICARE GROUP NPI |
| OKA103534 | Other | OK | MEDICARE GROUP PTAN |
Other names 1
- GARY C HILL MD INC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Edmond, OK
- NPI 1568428696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555286400000",
"number": "1467557991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE STE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-359-9669",
"fax_number": "405-359-6546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N BRYANT AVE STE 100",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346273",
"telephone_number": "405-359-9669"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY C HILL MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2019-04-15",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-359-9669",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OK",
"license": "11505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL NPI",
"identifier": "1568428696",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PTAN",
"identifier": "OKA103535",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100123190A*21",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI",
"identifier": "1467557991",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "OKA103534",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GARY C HILL MD INC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "GARY C HILL MD INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.