Active NPI
Jack Gaung-Shi Kao, M.D.
- Hospitalist Physician
- Talihina, OK
National Provider Identifier
1932386752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 15992
- Practice address
- 10014 SE 1138 Ave
Talihina, OK 74571 - Phone
- (918) 567-2251
- NPI assigned
- Jan 23, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 15992 | OK | |
| General Practice Physician | 208D00000X | 15992 | OK | |
| Hospitalist Physician | 208M00000X | 15992 | OK | Primary |
Addresses
Primary practice location
10014 SE 1138 Ave
Talihina, OK 74571
Mailing address
10014 SE 1138 Ave
Talihina, OK 74571
Phone (918) 567-2251
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15992 | OK | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1932386752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10014 SE 1138 AVE",
"city": "TALIHINA",
"state": "OK",
"postal_code": "74571",
"telephone_number": "918-567-2251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10014 SE 1138 AVE",
"city": "TALIHINA",
"state": "OK",
"postal_code": "74571",
"telephone_number": "918-567-2251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAO",
"first_name": "JACK",
"middle_name": "GAUNG-SHI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "15992",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "15992",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "OK",
"license": "15992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Talihina, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.