Provider Demographics
NPI:1922802016
Name:HAMMOND, GERALD ERCEL
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:ERCEL
Last Name:HAMMOND
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 GREYSTONE ST
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:OK
Mailing Address - Zip Code:74074-1231
Mailing Address - Country:US
Mailing Address - Phone:918-704-4567
Mailing Address - Fax:
Practice Address - Street 1:1024 GREYSTONE ST
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:OK
Practice Address - Zip Code:74074-1231
Practice Address - Country:US
Practice Address - Phone:918-704-4567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator