Individual provider Active NPI

Douglas B Gatzman III, RN-BSN

  • Case Manager/Care Coordinator
  • Oklahoma City, OK
National Provider Identifier
1801498506
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1013 NW 33Rd St
Oklahoma City, OK 73118-7250
Phone
(918) 869-5421
NPI assigned
Nov 9, 2020
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

1013 NW 33Rd St
Oklahoma City, OK 73118-7250

Mailing address

1013 NW 33Rd St
Oklahoma City, OK 73118-7250
Phone (918) 869-5421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1801498506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 NW 33RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187250",
            "telephone_number": "918-869-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 NW 33RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731187250",
            "telephone_number": "918-869-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZMAN",
        "first_name": "DOUGLAS",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "RN-BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.