Gailcrest Neurological Services, LLC

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

Legal business name

GAILCREST NEUROLOGICAL SERVICES, LLC

Practice address

9521 B Riverside Parkway #338
Tulsa, OK 74137

Phone

(918) 895-7680

Fax

(918) 236-4646

NPI assigned

Sep 24, 2013

Organization subpart

No

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

Authorized official

Name

Trase Mahan

Title

Manager

Phone

(918) 895-7680

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750717658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268934",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731268934",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9521 B RIVERSIDE PARKWAY #338",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74137",
            "telephone_number": "918-895-7680",
            "fax_number": "918-236-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAILCREST NEUROLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "TRASE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "918-895-7680"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Nikole Gagner
• Joshua Michael Gagner, BA
• Jestine A Gahagan, X RAY TECHNICIAN
• Jonathan J Gaikwad, DO
• Veronika Joel Gaikwad
• Angela Renee Gainer
• Aric Gaines
• Eileene Gaines, ADMINISTRATOR
• Karolyn Gaines
• Ronnie Gaines

• Surgical Technologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Surgical Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.