MEDICARE: MARK E. GREGORY 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
1	207P00000X	Emergency Medicine Physician	16492	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	020654565002	OTHER	OK	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659346963
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK E. GREGORY M.D.

Provider Business Mailing Address
First Line	:	4401 W MEMORIAL RD
Second Line	:	SUITE 140
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73134-1785
Country	:	US
Telephone Number	:	405-752-3162
Fax Number	:	405-936-5211

Provider Business Practice Location Address
First Line	:	200 S ACADEMY RD
Second Line	:
City	:	GUTHRIE
State	:	OK
Zip	:	73044-8727
Country	:	US
Telephone Number	:	405-282-5125
Fax Number	:

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

Provider Enumeration Date	:	02/21/2006
Last Update Date	:	05/20/2014

Similar Medicare Providers

1043213382 — LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Practice Location Address:

200 S ACADEMY RD
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-6700
Practice Fax: 405-282-6790

1609874759 — LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Practice Location Address:

200 S ACADEMY RD
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-9406
Practice Fax: 405-282-9404

1083612212 — DR. ARVIND BHAKTA M.D.
Practice Location Address:

205 S ACADEMY RD
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-9449
Practice Fax: 405-282-9403

1316945272 — LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Practice Location Address:

205 S ACADEMY RD
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-9449
Practice Fax: 405-282-9403

1487693057 — LOGAN HOSPITAL AND MEDICAL CENTER AUTHORITY
Practice Location Address:

200 S ACADEMY RD
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-6700
Practice Fax:

1851471247 — MS. RHODA POLSON M.ED.,C.C.C.
Practice Location Address:

200 S ACADEMY RD , REHABILITATION DEPT
GUTHRIE, OK
73044-8727

Practice Phone: 405-282-6700
Practice Fax:

Directions to “ MARK E. GREGORY M.D.” 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.