Provider Demographics
NPI:1639412612
Name:MORELLO GEARHART, ALESSANDRA (MD)
Entity Type:Individual
Prefix:
First Name:ALESSANDRA
Middle Name:
Last Name:MORELLO GEARHART
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALESSANDRA
Other - Middle Name:
Other - Last Name:MORELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5310 E 31ST ST FL 13
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-5018
Mailing Address - Country:US
Mailing Address - Phone:918-561-5701
Mailing Address - Fax:918-561-1173
Practice Address - Street 1:802 S JACKSON AVE STE 420
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74127-9059
Practice Address - Country:US
Practice Address - Phone:918-743-2882
Practice Address - Fax:918-745-0323
Is Sole Proprietor?:No
Enumeration Date:2013-03-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK29843207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1J2335OtherMEDICARE
OK200567820BMedicaid