Active NPI
Gerald Ray Hale, D.O.
- Interventional Pain Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 2619
- Practice address
- 2448 E 81St St
Suite 363
Tulsa, OK 74137-4250 - Phone
- (918) 477-5950
- Fax
- (918) 477-5951
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 2619 | OK | Primary |
Addresses
Primary practice location
2448 E 81St St
Suite 363
Tulsa, OK 74137-4250
Mailing address
2448 E 81St St
Suite 363
Tulsa, OK 74137-4250
Phone (918) 477-5950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100129900A | Medicaid | OK |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040107000339 | OK | Practitioner - Anesthesiology | 5597664987 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Oklahoma State University College of Osteopathic Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 N 14TH St
Ponca City, OK 74601-2035
Phone (580) 765-3321
3400 NW Expressway
Suite 500
Oklahoma City, OK 73112-4492
Phone (405) 945-4589
Hospital & facility affiliations
- Integris Health Ponca City
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integris Ambulatory Care Corporation | Current | Accepting new patients | |
| Hatton Anesthesia LLC | Past | Accepting new patients | |
| Integris Health Ponca City Hospital Inc | Interventional Pain Medicine | Past | Accepting new patients |
| Integris Ambulatory Care C Orporation | Past | Accepting new patients |
Locations
3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589
3001 Quail Springs Pkwy
Fl 5
Oklahoma City, OK 73134
1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932
Interoperability endpoints
- ghale490352@direct.integrisok.com
Organizations & group practices 4
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.
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1659922201
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1326076027
-
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
Interventional Pain Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ponca City, OK
- NPI 1548047616
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1962414904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 81ST ST",
"address_2": "SUITE 363",
"city": "TULSA",
"state": "OK",
"postal_code": "741374250",
"telephone_number": "918-477-5950",
"fax_number": "918-477-5951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 E 81ST ST",
"address_2": "SUITE 363",
"city": "TULSA",
"state": "OK",
"postal_code": "741374250",
"telephone_number": "918-477-5950",
"fax_number": "918-477-5951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "GERALD",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "OK",
"license": "2619",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100129900A",
"state": "OK"
}
],
"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 Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.