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NPI Code Detail

MEDICARE: GARY DON SCHICK M.D.

MEDICARE: GARY DON SCHICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician21579OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2250011829OTHEROKRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932107273
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY DON SCHICK M.D.
Provider Business Mailing Address
First Line : 9600 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7408
Country : US
Telephone Number : 405-230-9000
Fax Number : 405-230-9157
Provider Business Practice Location Address
First Line : 9600 BROADWAY EXT
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73114-7408
Country : US
Telephone Number : 405-230-9000
Fax Number : 405-230-9157
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 12/22/2017

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