Otis Ross Gatewood III, BSBHRS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

3501 E Gore Blvd Apt 1218
Lawton, OK 73501-6861

Phone

(405) 370-2448

NPI assigned

Nov 3, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oklahoma Mental Health Consulting LLC

  • Community/Behavioral Health Agency
  • Norman, OK
  • NPI 1821436064
  Medicare reassignment NPD

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1770860892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 E GORE BLVD APT 1218",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016861",
            "telephone_number": "405-370-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 E GORE BLVD APT 1218",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735016861",
            "telephone_number": "405-370-2448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATEWOOD",
        "first_name": "OTIS",
        "middle_name": "ROSS",
        "name_suffix": "III",
        "credential": "BSBHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Nicole Garrison, APRN-NPC
• Cynthia Michelle Garza Martinez
• Crystal Lynn Garza, B.S.
• Michael Garza, ATC/L
• Joann Gaston
• Glen Danyell Gatling
• Taylor Gee, MS, CCC-SLP
• Geetha B Kandimala MD PC
• Melinda Geimausaddle
• Gentiva Health Services (USA), LLC

• Social Worker in Lawton, OK
• Providers in Lawton, OK by specialty
• Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.