TOM J GRESHAM P.A.
NPI 1952384232
Physician Assistant in Tulsa, OK

Q: What is Tom Gresham's NPI number?

The NPI number for Tom Gresham is 1952384232. It was assigned to this individual provider in the NPPES registry on November 21, 2005.

Q: What is Tom Gresham's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tom Gresham was last updated on August 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since November 21, 2005

4111 S DARLINGTON AVE, STE 700, TULSA, OK 74135(918) 743-8943(918) 743-9058 Get Directions Write a Review

NPPES record last updated: August 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tom J Gresham P.a. NPPES

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

TOM J GRESHAM P.A. (NPI 1952384232) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (765) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1952384232

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTOM J GRESHAMCredential: P.A.

Location Address4111 S DARLINGTON AVE, STE 700Tulsa, OK 74135-6348

Mailing AddressPo Box 4939Tulsa, OK 74159-0939 · (918) 743-8943 · Fax (918) 743-9058

Phone(918) 743-8943

Fax(918) 743-9058

Sole ProprietorNo

Enumeration DateNovember 21, 2005

Last NPPES UpdateAugust 28, 2013

✔ NPI 1952384232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 765

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4111 S DARLINGTON AVE, Tulsa, OK 74135

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Other Identifiers 3

Medicare UPINS49570OK

Medicaid100087830BOK

Medicare ID-Type Unspecified243516500OK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Other Providers at the Same Location NPPES 16

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

DAVID LEROY MCELWAIN M.D.

Psychiatry & Neurology (Psychiatry)

4111 S DARLINGTON AVE, SUITE 425
TULSA, OK 74135

Tulsa County (866) 285-4381

ELIZABETH V MACEDO M.D.

Radiology (Diagnostic Radiology)