| Cody Ryan Gaul, AA | |
|
1000 N Lee Ave, Oklahoma City, OK 73102-1036 | |
| (405) 272-8000 | |
| (405) 235-0738 |
| Full Name | Cody Ryan Gaul |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 7 Years |
| Location | 1000 N Lee Ave, Oklahoma City, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497307144 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 2020021670 (Missouri) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 23 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| New Liberty Hospital District | Liberty, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthetic Care Inc | 2365425865 | 29 |
| Entity Name | Professional Anesthetic Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922053461 PECOS PAC ID: 2365425865 Enrollment ID: O20040607001480 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Ryan Gaul, AA 608 Nw 9th St Ste 6210, Oklahoma City, OK 73102-1069 Ph: (405) 272-9641 | Cody Ryan Gaul, AA 1000 N Lee Ave, Oklahoma City, OK 73102-1036 Ph: (405) 272-8000 |
Parker Thomas Richardson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-9641 Fax: 405-235-0738 | |
Kleopatra Ruddock, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Nw Expressway, Oklahoma City, OK 73112 Phone: 405-951-2815 | |
Tryna Kathryn Blumer, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Nw Expwy, Oklahoma City, OK 73112 Phone: 912-441-9254 | |
Mr. Ryan Nathan, AA-S Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 5030 N May Ave, Oklahoma City, OK 73112 Phone: 405-951-2815 Fax: 405-951-2495 | |
Savannah Schae Scott, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 3300 Nw Expressway, Oklahoma City, OK 73112 Phone: 405-949-3011 | |
Kathy Luu, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 N Lee Ave, Oklahoma City, OK 73102 Phone: 405-272-9641 Fax: 405-235-0738 |