Organization Active NPI

Gary K. Cunningham, D.O.,P.C.

  • Surgery Physician
  • Tulsa, OK
National Provider Identifier
1679694285
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2745 Issued in OK
Legal business name
GARY K. CUNNINGHAM, D.O.,P.C.
Practice address
6901 S Yorktown Ave
Suite C
Tulsa, OK 74136-3986
Phone
(918) 488-8888
Fax
(918) 488-9512
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Kincaid Cunningham II, D.O
Title
Physician
Phone
(918) 488-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 2745 OK Primary

Addresses

Primary practice location

6901 S Yorktown Ave
Suite C
Tulsa, OK 74136-3986

Mailing address

6901 S Yorktown Ave
Suite C
Tulsa, OK 74136-3986
Phone (918) 488-8888

Other identifiers 2

IdentifierTypeStateIssuer
447687655-00OtherOKBCBS
A002OtherOKTRICARE HUMANA

National Provider Directory

National Provider Directory

Locations

6901 S Yorktown Ave
Ste C
Tulsa, OK 74136
Phone (918) 488-8888

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679694285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 S YORKTOWN AVE",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363986",
            "telephone_number": "918-488-8888",
            "fax_number": "918-488-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 S YORKTOWN AVE",
            "address_2": "SUITE C",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363986",
            "telephone_number": "918-488-8888",
            "fax_number": "918-488-9512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY K. CUNNINGHAM, D.O.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "KINCAID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-488-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "447687655-00",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE HUMANA",
            "identifier": "A002",
            "state": "OK"
        }
    ],
    "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 Aug 22, 2020; 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.