Dr. Paul Stevens Gillum, M.D.
Dermatology, Dermatopathology in Norman, OK. Individual provider (NPI-1).
NPI number1982602025
StatusActive
Last updated in NPPESSep 22, 2022
Details
- NPI
- 1982602025
- Entity type
- Individual (NPI-1)
- Name
- Dr. Paul Stevens Gillum
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 12, 2005
- Certification date
- Sep 22, 2022
- Last updated
- Sep 22, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DERMATOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | 18408 | OK | Yes |
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 18048 | OK |
Practice location
2413 Palmer CirNorman, OK 73069-6301
Phone 405-360-9588 · Fax 405-321-5348
Mailing address
2413 Palmer CirNorman, OK 73069-6301
Phone 405-360-9588 · Fax 405-321-5348
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