Individual provider Active NPI

Gentian Meta, M.D.

  • Interventional Pain Medicine Physician
  • Edmond, OK
National Provider Identifier
1891907325
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
24801 Issued in OK
Practice address
508 W 15TH St
Edmond, OK 73013-3615
Phone
(405) 840-5100
Fax
(405) 840-5102
NPI assigned
May 4, 2007
Last updated
Aug 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 22294 OK
Interventional Pain Medicine Physician 208VP0014X 24801 OK Primary

Addresses

Primary practice location

508 W 15TH St
Edmond, OK 73013-3615

Mailing address

508 W 15TH St
Edmond, OK 73013-3615
Phone (405) 840-5100

Other practice location 1

5900 Mosteller Drive,
Suite 3
Oklahoma City, OK 73112-4600
Phone (405) 840-5100 ext. 6

Other identifiers 1

IdentifierTypeStateIssuer
200194770AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000591 OK Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain Management 9739277864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spine Care of Oklahoma LLCGroup PAC ID 3476549114, 5 clinicians

Practice addresses (Care Compare)

5109 W Gore Blvd
Lawton, OK 73505-5998
Phone (405) 840-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24801OKMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spine Care of Oklahoma, LLC CurrentSince Jan 1, 2008 Accepting new patients
Jackson County Memorial Hospital Authority Interventional Pain Medicine Past Accepting new patients
Summit Medical Center Interventional Pain Medicine Past Accepting new patients

Locations

508 W 15th St
Edmond, OK 73013
Phone (405) 615-0290

5109 W Gore Blvd
Lawton, OK 73505
Phone (405) 840-5100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1891907325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133615",
            "telephone_number": "405-840-5100",
            "fax_number": "405-840-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 15TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133615",
            "telephone_number": "405-840-5100",
            "fax_number": "405-840-5102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Mosteller Drive,",
            "address_2": "Suite 3",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731124600",
            "country_code": "US",
            "telephone_number": "405-840-5100 x6",
            "fax_number": "405-840-5102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "META",
        "first_name": "GENTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "22294",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OK",
            "license": "24801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200194770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.