# ANDREW C GIN, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497909501
- **Authorized official:** ANDREW C GIN M.D. (OWNER)
- **Authorized official phone:** (405) 682-9955

## Contact information

- **Practice address:** 1211 N SHARTEL AVE, STE 600, OKLAHOMA CITY, OK 73103-2400
- **Practice address phone:** (405) 682-9955
- **Practice address fax:** (405) 682-9979
- **Mailing address:** 1211 N SHARTEL AVE, STE 600, OKLAHOMA CITY, OK 73103-2400
- **Mailing address phone:** (405) 682-9955
- **Mailing address fax:** (405) 682-9979

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 11482 | OK | Yes |

## Other

- **Enumeration date:** 11/17/2008
- **Last updated:** 10/26/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100252780B | — | OK |
| 01 | — | 1336110717 | NPI INDIVIDUAL | OK |
| 01 | — | P00281427 | RR MEDICARE | OK |