Individual provider Active NPI

Mark D Gage, DO

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1972544138
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3028 Issued in OK
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

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100216450AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040508000249 OK Practitioner - Psychiatry 3577552215 Reassigns benefits to 4 organizations
I20201222000095 AR Practitioner - Psychiatry 3577552215 Reassigns benefits to 3 organizations

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
Forefront-Rush Medical Service PAGroup PAC ID 4486884285, 15 clinicians
Forefront-Rush Medical Services PCGroup PAC ID 8628324878, 10 clinicians

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

LicenseStateTypeSpecialty
3028OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Behavioral Health, LLC Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
Psychiatric Wellness Aprn-CNP PLLC CurrentSince Mar 1, 2025 Accepting new patients
Oklahoma Medical and Psychiatric Services Inc CurrentSince Jan 1, 1998 Accepting new patients
Forefront-Rush Medical Services PC Psychiatry CurrentSince Dec 17, 2020 Accepting new patients
Access Telecare, PLLC Psychiatry CurrentSince Jan 28, 2025 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Forefront-Rush Medical Service PA Psychiatry CurrentSince Oct 8, 2019 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

  • Direct secure messaging: mark.gage.1@24287.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.