LAURA SHANNON GILMORE MD NPI 1295764108

NPI Information

  • NPI: 1295764108
  • Provider Name: LAURA SHANNON GILMORE, MD
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 102 N BROADWAY
    CARNEGIE, OK
    ZIP 73015
  • Phone: (800) 942-2904

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NPI Details

Laura Shannon Gilmore, MD is a general practice in Carnegie, OK with 24 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Laura Shannon Gilmore, MD NPI is 1295764108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2002

The provider's business location address is:

102 N BROADWAY
CARNEGIE, OK
ZIP 73015-800
Phone: (800) 942-2904

The NPI 1295764108 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of skin and tissue, each additional 20.0 sq cm or less (HCPCS:11045)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Removal of muscle and/or tissue, 20.0 sq cm or less (HCPCS:11043)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)

The enumeration date for this NPI number is 7/2/2006 and was last updated on 11/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083P0011XPreventive MedicineUndersea and Hyperbaric MedicineMD.206032LOUISIANANo
2208D00000XGeneral PracticeN6124TEXASNo
3208D00000XGeneral Practice22979OKLAHOMAYes
4207W00000XOphthalmology22979OKLAHOMANo
52083P0011XPreventive MedicineUndersea and Hyperbaric MedicineE7262ARKANSASNo
62083P0011XPreventive MedicineUndersea and Hyperbaric Medicine22979OKLAHOMANo
72083P0011XPreventive MedicineUndersea and Hyperbaric MedicineN6124TEXASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200086480BMEDICAIDOKLAHOMA
222979OTHEROKLAHOMAOK LICENSE #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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