MEDICARE: MARK D GAGE DO

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	2084P0800X	Psychiatry Physician	3028	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	:	1972544138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK D GAGE DO

Provider Business Mailing Address
First Line	:	PO BOX 140156
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74014-0002
Country	:	US
Telephone Number	:	918-357-5859
Fax Number	:	918-357-5859

Provider Business Practice Location Address
First Line	:	6915 E 106TH ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7137
Country	:	US
Telephone Number	:	918-671-9274
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	11/27/2024

Similar Medicare Providers

1730712175 — RACHEL DROST MT-BC
Practice Location Address:

4819 S 86TH EAST AVE
TULSA, OK
74145-7137

Practice Phone: 918-409-0546
Practice Fax:

1811958440 — SELECT PHYSICAL THERAPY HOLDINGS INC
Practice Location Address:

11055 S MEMORIAL DR
TULSA, OK
74133-7362

Practice Phone: 918-663-8672
Practice Fax:

1639141724 — RITA WESTENHAVER DO
Practice Location Address:

8115 S MEMORIAL DR
TULSA, OK
74133-4331

Practice Phone: 918-254-6315
Practice Fax: 918-403-6315

1326201138 — MUSKOGEE VAMC
Practice Location Address:

8921 S MINGO RD
TULSA, OK
74133-5841

Practice Phone: 918-577-3000
Practice Fax: 918-254-9596

1124956578 — I MPOSSIBLE THERAPY SERVICES LLC
Practice Location Address:

7338 E 92ND ST
TULSA, OK
74133-6039

Practice Phone: 539-260-0749
Practice Fax:

1851264709 — VOLUNTEERS OF AMERICA OF OKLAHOMA, INC.
Practice Location Address:

9605 E 61ST ST
TULSA, OK
74133-6308

Practice Phone: 918-307-1500
Practice Fax: 918-307-1520

Directions to “ MARK D GAGE DO” 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.