Active NPI
Gayle Marie McKinnon, CRNA
- Certified Registered Nurse Anesthetist
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 74313
- Practice address
- 10501 East 91St Street South
Saint Francis South
Broken Arrow, OK 74133 - Phone
- (918) 307-6000
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 74313 | OK | Primary |
Addresses
Primary practice location
10501 East 91St Street South
Saint Francis South
Broken Arrow, OK 74133
Mailing address
6839 S Canton Ave,
Associated Anesthesiologists Inc
Tulsa, OK 74126
Phone (918) 494-0612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, NY
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (919) 744-3131
3029 W Main St
Jenks, OK 74037-3465
Phone (918) 701-2300
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Phone (918) 333-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74313 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olympia Anesthesia, PLC | Current | Accepting new patients | |
| Northstar Anesthesia of Oklahoma, PLLC | Current | Accepting new patients | |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| Integral Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
818 Ellicott St
Buffalo, NY 14203
Phone (716) 323-2000
3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245
3500 E Frank Phillips Blvd
Bartlesville, OK 74006
Phone (918) 331-1555
3029 W Main St
Jenks, OK 74037
Phone (918) 346-5002
5602 SW Lee Blvd
Lawton, OK 73505
Phone (580) 531-4700
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
6901 S Olympia Ave
Tulsa, OK 74132
Phone (918) 388-5701
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Jenks, OK
- NPI 1881041515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205841186
-
- Specialist
- Buffalo, NY
- NPI 1306852181
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bartlesville, OK
- NPI 1215914254
-
- Medicare Defined Swing Bed Hospital Unit
- Bartlesville, OK
- NPI 1427428986
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1154417368
-
- Rehabilitation Hospital Unit
- Tulsa, OK
- NPI 1578656161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1730327446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6839 S CANTON AVE,",
"address_2": "ASSOCIATED ANESTHESIOLOGISTS INC",
"city": "TULSA",
"state": "OK",
"postal_code": "74126",
"telephone_number": "918-494-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10501 EAST 91ST STREET SOUTH",
"address_2": "SAINT FRANCIS SOUTH",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "74133",
"telephone_number": "918-307-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKINNON",
"first_name": "GAYLE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "74313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.