Active NPI
Charles M Gelnar, MD
- Surgery Physician
- Edmond, OK
National Provider Identifier
1861494015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 9295
- Practice address
- 105 S Bryant Ave
#104
Edmond, OK 73034-6330 - Phone
- (405) 216-0956
- Fax
- (405) 216-7582
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 9295 | OK | Primary |
Addresses
Primary practice location
105 S Bryant Ave
#104
Edmond, OK 73034-6330
Mailing address
4900 S. Monaco St
Suite 210
Denver, CO 80237-3486
Phone (405) 216-0956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100087790A | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plastic Surgery & Dermatology Associates, PLLC | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Oklahoma City, OK
- NPI 1023020864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1861494015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 S. MONACO ST",
"address_2": "SUITE 210",
"city": "DENVER",
"state": "CO",
"postal_code": "802373486",
"telephone_number": "405-216-0956",
"fax_number": "405-216-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BRYANT AVE",
"address_2": "#104",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346330",
"telephone_number": "405-216-0956",
"fax_number": "405-216-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELNAR",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OK",
"license": "9295",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100087790A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.