Individual
JESICAH MARIE GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Mailing address
550 S PEORIA AVE, TULSA, OK 74120-3820
(918) 588-1900
(918) 582-6405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27867
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100732910-A
GROUP MEDICAID/SOONERCARE
OK
01
—
100732910-G
GROUP MEDICAID/SOONERCARE
OK
05
—
200330420 B
—
OK
01
—
73-1042545
GROUP BCBS
OK
01
—
731042545001
GROUP TRICARE
OK
Enumeration date
04/20/2010
Last updated
06/16/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us