Active NPI
Gabriel Marcus Crow, DO
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1962074955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 2024006478
- Practice address
- 1111 W 17TH St
Tulsa, OK 74107-1886 - Phone
- (918) 582-1972
- NPI assigned
- Jul 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 2024006478 | MO | Primary |
Addresses
Primary practice location
1111 W 17TH St
Tulsa, OK 74107-1886
Mailing address
1 Jarrett White Rd
Attn: Department of Psychiatry
Tripler AMC, HI 96859
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024006478 | MO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1962074955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"address_2": "ATTN: DEPARTMENT OF PSYCHIATRY",
"city": "TRIPLER AMC",
"state": "HI",
"postal_code": "96859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W 17TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741071886",
"telephone_number": "918-582-1972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROW",
"first_name": "GABRIEL",
"middle_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-11",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2024006478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.