Active NPI
Gary Wayne Cole, D.O.
- Surgery Physician
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4891
- Practice address
- 620 S Madison St Ste 108
Enid, OK 73701-7270 - Phone
- (580) 977-1901
- Fax
- (580) 249-4350
- NPI assigned
- Sep 28, 2010
- Last updated
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4891 | OK | Primary |
Addresses
Primary practice location
620 S Madison St Ste 108
Enid, OK 73701-7270
Mailing address
5300 N Independence Ave Ste 280
Oklahoma City, OK 73112-5555
Phone (580) 977-1901
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200401470B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Oklahoma State University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone (918) 458-3100
5604 SW Lee Blvd
Suite 210
Lawton, OK 73505-9663
Phone (580) 531-6468
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4891 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwestern Surgical Affiliates, LLC | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Comanche County Healthcare | Surgery | Past | Accepting new patients |
Locations
620 S Madison St
Ste 108
Enid, OK 73701
Phone (580) 234-2289
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
110 NW 31st St
Fl 3
Lawton, OK 73505
Phone (580) 250-5200
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
5604 SW Lee Blvd
Ste 210
Lawton, OK 73505
Phone (580) 531-6465
5606 SW Lee Blvd
Ste 205
Lawton, OK 73505
Phone (580) 531-6465
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
Interoperability endpoints
- gary.cole.1@1821.direct.athenahealth.com
- gary.cole@mmg.eclinicaldirectplus.com
- https://api.platform.athenahealth.com/1821/brand/1/csg/22/fhir/r4
Organizations & group practices 12
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.
-
- Orthopaedic Surgery Physician
- Lawton, OK
- NPI 1013169531
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
dba INTEGRIS Medical Group
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
-
- Multi-Specialty Clinic/Center
- Salina, OK
- NPI 1326054081
-
- Multi-Specialty Clinic/Center
- Vinita, OK
- NPI 1558377226
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
-
- Multi-Specialty Clinic/Center
- Stilwell, OK
- NPI 1992711345
-
dba Memorial Medical Group Cardiovascular and Thoracic Surgery
- Cardiovascular Disease Physician
- Lawton, OK
- NPI 1316963705
-
dba MMG Allergy and Asthma
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
dba Comanche County Wound Care Center
- Surgery Physician
- Lawton, OK
- NPI 1285651232
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1699084467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N INDEPENDENCE AVE STE 280",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125555",
"telephone_number": "580-977-1901",
"fax_number": "580-249-4350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S MADISON ST STE 108",
"city": "ENID",
"state": "OK",
"postal_code": "737017270",
"telephone_number": "580-977-1901",
"fax_number": "580-249-4350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "GARY",
"middle_name": "WAYNE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-28",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "4891",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200401470B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.