MEDICARE: GARY WAYNE COLE D.O.

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	208600000X	Surgery Physician	4891	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1699084467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY WAYNE COLE D.O.

Provider Business Mailing Address
First Line	:	5300 N INDEPENDENCE AVE STE 280
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73112-5555
Country	:	US
Telephone Number	:	580-977-1901
Fax Number	:	580-249-4350

Provider Business Practice Location Address
First Line	:	620 S MADISON ST STE 108
Second Line	:
City	:	ENID
State	:	OK
Zip	:	73701-7270
Country	:	US
Telephone Number	:	580-977-1901
Fax Number	:	580-249-4350

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

Provider Enumeration Date	:	09/28/2010
Last Update Date	:	04/02/2018

Similar Medicare Providers

1720087869 — DANIEL E OATHOUT MD
Practice Location Address:

620 S MADISON ST , SUITE 301
ENID, OK
73701-7270

Practice Phone: 580-233-6350
Practice Fax: 580-233-6106

1417957085 — JOHN W GOULART DO
Practice Location Address:

620 S MADISON ST , SUITE 108
ENID, OK
73701-7270

Practice Phone: 580-234-2289
Practice Fax: 580-249-4350

1316939044 — INTEGRIS RURAL HEALTH INC
Practice Location Address:

620 S MADISON ST , SUITE 301
ENID, OK
73701-7270

Practice Phone: 580-233-6350
Practice Fax: 580-233-6106

1194755793 — DR. MICHAEL S JACKSON MD
Practice Location Address:

620 S MADISON ST STE 304
ENID, OK
73701-7270

Practice Phone: 580-233-6350
Practice Fax: 580-233-6106

1538189212 — DR. KEVIN BRENT KOURT M.D.
Practice Location Address:

620 S MADISON ST STE 209
ENID, OK
73701-7270

Practice Phone: 580-548-1544
Practice Fax:

1083874267 — SARAH BETH MATOUSEK-FRASER MD
Practice Location Address:

620 S MADISON ST STE 209
ENID, OK
73701-7270

Practice Phone: 580-977-1864
Practice Fax: 580-977-1865

Directions to “ GARY WAYNE COLE D.O.” 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 © 2007-2025 (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.