THERESA L GAVULA P.A.-C
NPI 1013090919
Physician Assistant - Medical in Oklahoma City, OK

Active since October 23, 2006PECOS Enrolled
1200 N PHILLIPS AVE, SUITE 14500, OKLAHOMA CITY, OK 73104(405) 271-5311(405) 271-3767 Get Directions Write a Review

NPPES record last updated: September 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa L Gavula P.a.-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA L GAVULA P.A.-C (NPI 1013090919) is an individual medical provider in Oklahoma City, Oklahoma, licensed in Oklahoma (1312) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013090919
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTHERESA L GAVULACredential: P.A.-C
Location Address1200 N PHILLIPS AVE, SUITE 14500Oklahoma City, OK 73104-4600
Mailing Address1200 N Phillips Ave, Suite 10,000Oklahoma City, OK 73104-4600 · (405) 271-4412 · Fax (405) 271-3265
Fax(405) 271-3767
Sole ProprietorYes
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 12, 2011
NPI 1013090919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OK · 1312
1200 N PHILLIPS AVE, Oklahoma City, OK 73104

Other Identifiers 1

Medicare UPINQ15247OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Theresa L Gavula P.a.-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
1200 N PHILLIPS AVE, SUITE 6100
OKLAHOMA CITY, OK 73104
Pediatrics (Pediatric Rheumatology)
1200 N PHILLIPS AVE, SUITE 5100
OKLAHOMA CITY, OK 73104
Pediatrics
1200 N PHILLIPS AVE, SUITE 6100
OKLAHOMA CITY, OK 73104
Genetic Counselor, MS
1200 N PHILLIPS AVE, 5100
OKLAHOMA CITY, OK 73104
Pediatrics (Pediatric Pulmonology)
1200 N PHILLIPS AVE, SUITE 9100
OKLAHOMA CITY, OK 73104
Pediatrics
1200 N PHILLIPS AVE, SUITE 6100
OKLAHOMA CITY, OK 73104
Pediatrics (Pediatric Hematology-Oncology)
1200 N PHILLIPS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Pediatrics (Pediatric Endocrinology)
1200 N PHILLIPS AVE, SUITE 4500
OKLAHOMA CITY, OK 73104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Gavula's NPI number?

The NPI number for Theresa Gavula is 1013090919. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Theresa Gavula located?

Theresa Gavula practices at 1200 N Phillips Ave Suite 14500, Oklahoma City, OK 73104. The listed phone number is (405) 271-5311.

What is Theresa Gavula's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theresa Gavula enrolled in Medicare?

Yes. Theresa Gavula is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theresa Gavula was last updated on September 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.