Individual provider Active NPI

Gena C. Gray, M.D.

  • Obstetrics & Gynecology Physician
  • Tulsa, OK
National Provider Identifier
1689764110
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19039 Issued in OK
Practice address
1919 S Wheeling Ave Ste 700
Tulsa, OK 74104-5636
Phone
(918) 712-8700
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 19039 OK Primary

Addresses

Primary practice location

1919 S Wheeling Ave Ste 700
Tulsa, OK 74104-5636

Mailing address

1919 S Wheeling Ave Ste 700
Tulsa, OK 74104-5636
Phone (918) 712-8700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000216 OK Practitioner - Obstetrics/Gynecology 7315949369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Oklahoma College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB GYN Specialists of Tulsa PLLCGroup PAC ID 3476842121, 6 clinicians

Practice addresses (Care Compare)

1919 S Wheeling Ave
Suite 700
Tulsa, OK 74104-5636
Phone (918) 712-8700

Hospital & facility affiliations

  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114
  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • St John Owasso Hospital, Owasso, OK, CCN 370227

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
OB GYN Specialists of Tulsa PLLC Obstetrics & Gynecology CurrentSince Jan 20, 2016 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Tulsa Perinatal Evaluation Center PastSince Aug 1, 1994 Accepting new patients

Locations

1919 S Wheeling Ave
Ste 700
Tulsa, OK 74104
Phone (918) 712-8700

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492646400000",
    "number": "1689764110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045636",
            "telephone_number": "918-712-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 700",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045636",
            "telephone_number": "918-712-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "GENA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "19039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.