Garrick Shreck DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARRICK SHRECK DO PC

Practice address

1921 W 6TH Ave Ste a
Stillwater, OK 74074-4204

Phone

(405) 533-2433

Fax

(833) 623-1821

NPI assigned

Apr 9, 2007

Last updated

Sep 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Garrick L Shreck, DONPI 1043205651

Title

Owner

Phone

(405) 533-2433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Garrick Lee Shreck, DO

  • Family Medicine Physician
  • Stillwater, OK
  • NPI 1043205651
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1811010424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W 6TH AVE STE A",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744204",
            "telephone_number": "405-533-2433",
            "fax_number": "405-533-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 W 6TH AVE STE A",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744204",
            "telephone_number": "405-533-2433",
            "fax_number": "833-623-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRICK SHRECK DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "SHRECK",
        "authorized_official_first_name": "GARRICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-533-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raley Brooke Gamble
• Reagan Elizabeth Gantz
• Claire McKenna Gantzer
• Krikor B Garabedian, PH.D.
• Dylan Sean Gardner, PA-C
• Kaliana Gartelos, RBT
• Eric Noel Garza
• Kaylin Nicole Gauthier
• Angela R Gee
• Carson Gee, OD

• Family Medicine Physician in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.