Active NPI
Mark D Gage, DO
- Psychiatry Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3028
- Practice address
- 6915 E 106TH St
Tulsa, OK 74133-7137 - Phone
- (918) 671-9274
- NPI assigned
- Jun 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3028 | OK | Primary |
Addresses
Primary practice location
6915 E 106TH St
Tulsa, OK 74133-7137
Mailing address
PO Box 140156
Broken Arrow, OK 74014-0002
Phone (918) 357-5859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100216450A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
15205 Traditions Lake Pkwy
Edmond, OK 73013-1198
Phone (972) 449-0540
200 N 3Rd St
Dardanelle, AR 72834-3802
Phone (972) 449-0540
201 S Garnett Rd
Tulsa, OK 74128-1805
Phone (918) 438-4257
2255 Sturgis Rd
Conway, AR 72034-8029
Phone (972) 449-0540
300 S Spring St
Suite 900
Little Rock, AR 72201-2425
Phone (972) 449-0540
719 Detroit Ave
Danville, AR 72833-9607
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3028 | OK | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Behavioral Health, LLC | Psychiatry | Current | Accepting new patients |
| Psychiatric Wellness Aprn-CNP PLLC | Current | Accepting new patients | |
| Oklahoma Medical and Psychiatric Services Inc | Current | Accepting new patients | |
| Forefront-Rush Medical Services PC | Psychiatry | Current | Accepting new patients |
| Access Telecare, PLLC | Psychiatry | Current | Accepting new patients |
| Duncan Regional Hospital, Inc. | Current | Accepting new patients | |
| Forefront-Rush Medical Service PA | Psychiatry | Current | Accepting new patients |
| John B White, MD PC | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Forefront-Crane Medical Services PC | Psychiatry | Past | Accepting new patients |
| Brookhaven Hospital, LLC | Past | Accepting new patients | |
| Farmers Union Hospital Association | Past | Accepting new patients |
Locations
2255 Sturgis Rd
Conway, AR 72034
Phone (501) 205-0011
300 Spring Building
Ste 900
Little Rock, AR 72201
Phone 80099761969238
15205 Traditions Lake Pkwy
Edmond, OK 73013
Phone (339) 499-9518
609 S Main St
Elk City, OK 73644
Phone (405) 437-0406
1300 North Dr
Hartshorne, OK 74547
Phone (918) 297-7000
1491 S Sunnylane Rd
Oklahoma City, OK 73115
Phone (405) 437-2235
1620 E 12th St
Tulsa, OK 74120
Phone (918) 582-2131
744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561
201 S Garnett Rd
Tulsa, OK 74128
Phone (918) 438-0083
Interoperability endpoints
- mark.gage.1@24287.direct.athenahealth.com
- mark.gage@direct.drhhealth.org
Organizations & group practices 12
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.
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1083807366
-
- Psychiatry Physician
- Little Rock, AR
- NPI 1588152649
-
- Adult Mental Health Clinic/Center
- Del City, OK
- NPI 1285273920
-
dba Conway Behavioral Health
- Psychiatry Physician
- Conway, AR
- NPI 1245728484
-
- Rural Acute Care Hospital
- Duncan, OK
- NPI 1851396394
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1023064300
-
dba Great Plains Regional Medical Center
- Psychiatric Hospital Unit
- Elk City, OK
- NPI 1194730382
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1891988424
-
- Psychiatry Physician
- Frankfort, IN
- NPI 1932728334
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dardanelle Regional Medical Center
- Critical Access Hospital
- Dardanelle, AR
- NPI 1184629594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1972544138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 140156",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740140002",
"telephone_number": "918-357-5859",
"fax_number": "918-357-5859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6915 E 106TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741337137",
"telephone_number": "918-671-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGE",
"first_name": "MARK",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "3028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100216450A",
"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 Nov 27, 2024; 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.