NPIMap

Organization Active NPI

Gemini Medical Group Inc

  • Family Medicine Physician
  • Bartlesville, OK
National Provider Identifier
1821052473
Registry record updated Jul 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEMINI MEDICAL GROUP INC
Practice address
226 SE Debell Ave
Bartlesville, OK 74006-2343
Phone
(918) 331-1090
Fax
(918) 331-1091
NPI assigned
Apr 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2011

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

Authorized official

Name
Gayle Burden
Title
Administrator
Phone
(918) 331-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

226 SE Debell Ave
Bartlesville, OK 74006-2343

Mailing address

226 SE Debell Ave BLDG a
Bartlesville, OK 74006-2343
Phone (918) 331-1090

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

310 S Keeler Ave
Bartlesville, OK 74003
Phone (918) 332-3640

224 SE Debell Ave
Bartlesville, OK 74006
Phone (918) 331-1045

417 E Angus Ave
Dewey, OK 74029
Phone (918) 534-1010

701 Leahy Ave
Pawhuska, OK 74056
Phone (918) 287-1310

Dept 1236
Tulsa, OK 74182

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1821052473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE BLDG A",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-1090",
            "fax_number": "918-331-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 SE DEBELL AVE",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740062343",
            "telephone_number": "918-331-1090",
            "fax_number": "918-331-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-331-1090"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; 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.