| Dr Jay K Gannaway, MD | |
|
4833 Integris Pkwy, Suite 150, Edmond, OK 73034-8864 | |
| (405) 657-3990 | |
| (405) 471-0039 |
| Full Name | Dr Jay K Gannaway |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 4833 Integris Pkwy, Edmond, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609847086 | NPI | - | NPPES |
| 100129670A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 12885 (Oklahoma) | Primary |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay K Gannaway, MD 5300 N Independence Ave, 280, Oklahoma City, OK 73112-5556 Ph: (405) 657-3990 | Dr Jay K Gannaway, MD 4833 Integris Pkwy, Suite 150, Edmond, OK 73034-8864 Ph: (405) 657-3990 |
Dr. Stephen B Conner, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1600 Medical Center Dr, Edmond, OK 73034 Phone: 405-359-2266 Fax: 405-359-2015 | |
Dr. David Alan Rhodes, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4833 Integris Pkwy Ste 150, Edmond, OK 73034 Phone: 405-657-3990 Fax: 405-471-0039 | |
John B Gruel, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4833 Integris Pkwy, Suite 150, Edmond, OK 73034 Phone: 405-657-3990 Fax: 405-471-0039 | |
Dr. William J. Hale Ii, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2017 W I 35 Frontage Rd, Sutie 250, Edmond, OK 73013 Phone: 405-757-3340 Fax: 405-757-3341 | |
Rick D Beller, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1701 Renaissance Blvd, Suite 100, Edmond, OK 73013 Phone: 405-348-3434 Fax: 405-341-9429 | |
Lance Craig Smith, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1616 S Kelly Ave, Edmond, OK 73013 Phone: 405-486-6950 Fax: 405-426-6424 | |
William W Stewart, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2017 W I 35 Frontage Rd, Suite250, Edmond, OK 73013 Phone: 405-757-3340 Fax: 405-757-3631 |