NPIMap

Individual provider Active NPI

Travis Clark Garrett, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1700105236
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29881 Issued in OK
Practice address
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone
(405) 752-3962
Fax
(405) 752-3963
NPI assigned
May 24, 2010
Last updated
Mar 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29881 OK Primary
Internal Medicine Physician 207R00000X 550206 TX
Hospitalist Physician 208M00000X 29881 OK

Addresses

Primary practice location

4300 W Memorial Rd
Oklahoma City, OK 73120-8304

Mailing address

4200 W Memorial Rd Ste 610
Oklahoma City, OK 73120-9350
Phone (405) 752-3962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000011 OK Practitioner - Internal Medicine 5698919983 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Hospital Kingfisher, IncGroup PAC ID 5395970180, shared by 3 NPIs, 10 clinicians
Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians
Mercy Hospital Logan County, IncGroup PAC ID 4587836200, 25 clinicians
Mercy Hospital Healdton IncGroup PAC ID 3375610447, 13 clinicians

Practice addresses (Care Compare)

1000 Hospital Dr
Kingfisher, OK 73750-5029
Phone (405) 375-3141

1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132

200 S Academy Rd
Guthrie, OK 73044-8727
Phone (405) 282-6700

3462 Hospital Rd
Healdton, OK 73438-6124
Phone (580) 229-0701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
550206TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Mercy Hospital Kingfisher, Inc CurrentSince Sep 20, 2021 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Sep 20, 2021 Accepting new patients
Mercy Clinic Oklahoma Communities Internal Medicine CurrentSince Aug 5, 2013 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Sep 20, 2021 Accepting new patients
Mercy Hospital Healdton, Inc Current Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Sep 20, 2021 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Sep 20, 2021 Accepting new patients
Mercy Hospital Tishomingo, Inc. Current Accepting new patients
Mercy Hospital Tishomingo, Inc CurrentSince Sep 20, 2021 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

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.

Hospital & facility affiliations 8

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1700105236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 610",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-752-3962",
            "fax_number": "405-752-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3962",
            "fax_number": "405-752-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "TRAVIS",
        "middle_name": "CLARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "29881",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "550206",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "29881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.