MEDICARE: MR. JOHNNIE LEE GILPEN JR.

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
1	207P00000X	Emergency Medicine Physician	3116	OK

General Provider Information

NPI Number	:	1427693399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOHNNIE LEE GILPEN JR.

Provider Business Mailing Address
First Line	:	7997 ALFADALE ST
Second Line	:
City	:	UNION CITY
State	:	OK
Zip	:	73090-6615
Country	:	US
Telephone Number	:	405-919-9511
Fax Number	:

Provider Business Practice Location Address
First Line	:	7997 ALFADALE ST
Second Line	:
City	:	UNION CITY
State	:	OK
Zip	:	73090-6615
Country	:	US
Telephone Number	:	405-919-9511
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2019
Last Update Date	:	11/14/2019

Similar Medicare Providers

1922210459 — UNION CITY PUBLIC SCHOOLS
Practice Location Address:

105 W. DIVISION
UNION CITY, OK
73090

Practice Phone: 405-483-5327
Practice Fax:

1679952857 — MRS. CRYSTAL ANN TONER
Practice Location Address:

8100 ALFADALE ST
UNION CITY, OK
73090-6617

Practice Phone: 405-227-1879
Practice Fax:

1629914395 — BAILEY DONALEE SMITH BCBA, LBA-OK
Practice Location Address:

301 N CHERRY AVE
UNION CITY, OK
73090-9614

Practice Phone: 405-779-3996
Practice Fax:

1669307674 — AMANDA JO KIRK LCSW
Practice Location Address:

6615 CLEMENS AVE APT 1W
UNIVERSITY CITY, MO
63130-3208

Practice Phone: 407-973-0355
Practice Fax:

1669468765 — SCOTT SERVICE
Practice Location Address:

4701 W HIGHWAY 38
MALAD CITY, ID
83252-6615

Practice Phone: 208-766-2588
Practice Fax: 208-766-2588

1659483451 — SAN DIEGO DIALYSIS SERVICES, INC.
Practice Location Address:

303 W 26TH ST
NATIONAL CITY, CA
91950-6615

Practice Phone: 619-474-8151
Practice Fax: 619-474-8155

Directions to “ MR. JOHNNIE LEE GILPEN JR. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.