GUNNER PARENT
NPI 1245957877
Student in an Organized Health Care Education/Training Program in Tulsa, OK

Active since October 25, 2022PECOS EnrolledAccepts Medicare Assignment
1111 W 17TH ST, TULSA, OK 74107(918) 582-1972 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gunner Parent NPPES

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

GUNNER PARENT (NPI 1245957877) is an individual student in an organized health care education/training program in Tulsa, Oklahoma and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2024).

NPPES Registry Identity

NPI1245957877
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGUNNER PARENT
Location Address1111 W 17TH STTulsa, OK 74107-1886
Mailing Address1111 W 17th StTulsa, OK 74107-1886
Sole ProprietorYes
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2024
Enumeration DateOctober 25, 2022
NPPES CertifiedOctober 25, 2022
NPI 1245957877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1111 W 17TH ST, Tulsa, OK 74107

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gunner Parent is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224524764
PECOS Enrollment IDI20260105001340
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370180
Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107
Student in an Organized Health Care Education/Training Program
1111 W 17TH ST
TULSA, OK 74107

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 Gunner Parent's NPI number?

The NPI number for Gunner Parent is 1245957877. It was assigned to this individual provider in the NPPES registry on October 25, 2022.

Where is Gunner Parent located?

Gunner Parent practices at 1111 W 17th St, Tulsa, OK 74107. The listed phone number is (918) 582-1972.

What is Gunner Parent's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gunner Parent enrolled in Medicare?

Yes. Gunner Parent is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gunner Parent affiliated with any hospitals?

According to CMS data, Gunner Parent is affiliated with Chickasaw Nation Medical Center.

When was this NPI record last updated?

The NPPES record for Gunner Parent was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.