GARY T. DYKSTRA D.O. – NPI #1033172192
Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
GARY DYKSTRA is a physician located in BARTLESVILLE, OK. NPPES has assigned the NPI number 1033172192 to GARY DYKSTRA on April 10, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease
The NPI profile was previously updated about 15 years ago on Nov 04, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GARY DYKSTRA below.
NPI Profile for
GARY T. DYKSTRA
(more than 20 years ago)
BARTLESVILLE, OK 74006 Phone: (918) 331-2577 Fax: (918) 331-2513
STE 502
BARTLESVILLE, OK 74006-2495 Phone: (918) 331-2577 Fax: (918) 331-2513
Identifiers for GARY DYKSTRA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | KS | 101863 | |
| MEDICAID | OK | 100106620A |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207RC0000X - Internal Medicine / Cardiovascular Disease (Primary) |
OK | 3077 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
GARY DYKSTRA is affiliated with the following medical group(s):
- HOSPITAL
- COFFEYVILLE REGIONAL MEDICAL CENTER, INC1400 W 4TH ST
COFFEYVILLE, KS 67337 - JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC3500 EAST FRANK PHILLIPS BOULEVARD
BARTLESVILLE, OK 74006 - LABETTE HEALTH1902 SOUTH US HWY 59
PARSONS, KS 67357 - PAWHUSKA HOSPITAL, INC1101 EAST 15TH STREET
PAWHUSKA, OK 74056
- COFFEYVILLE REGIONAL MEDICAL CENTER, INC1400 W 4TH ST
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