NPIMap

Individual provider Active NPI

Stephen R Gilliland, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
National Provider Identifier
1649235532
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
10961 Issued in OK
Practice address
8813 S 71St East Ave
Tulsa, OK 74133-5056
Phone
(918) 809-0712
Fax
(918) 524-6055
NPI assigned
Apr 20, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 10961 OK Primary

Addresses

Primary practice location

8813 S 71St East Ave
Tulsa, OK 74133-5056

Mailing address

8813 S 71St East Ave
Tulsa, OK 74133-5056
Phone (918) 809-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10961OKMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Hospitalists Services PLLC Past Accepting new patients
National Healthcare of Newport Inc Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Jefferson County Healthcare Authority Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Eufaula Medicine PLLC Past Accepting new patients
Stuttgart Regional Medical Center Past Accepting new patients
Mayes County Hma, LLC Past Accepting new patients

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1649235532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8813 S 71ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335056",
            "telephone_number": "918-809-0712",
            "fax_number": "918-524-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8813 S 71ST EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335056",
            "telephone_number": "918-809-0712",
            "fax_number": "918-524-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLILAND",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "10961",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 9, 2010; 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.