Gary Dean Dubois, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

12879 Issued in OK

Practice address

1117 S Douglas Blvd
Ste D
Midwest City, OK 73130-5262

Phone

(405) 741-8686

Fax

(405) 733-9621

NPI assigned

Aug 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: duboisg@yourcarecommunity.org

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1831182039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "GARY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "12879",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OK",
            "license": "12879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117310A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Drees, LMSW
• Drug Store
• Calet Dubiel
• Dubois Medical Clinic PC
• Elizabeth Ann Dubois, M.A.
• Peggy Culver Dubois, MD
• Tasha D Dubose
• Dugan Dental, Inc.
• Don Coley Dugan, D.D.S.
• Lisa Jenette Dunbar

• Nephrology Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Nephrology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.