Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dylan Sean Gardner, PA-C

Individual provider Physician Assistant · NPI 1710761812

Dylan Sean Gardner, PA-C is a Physician Assistant in Stillwater, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2025, 1 year ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Trained at
Oklahoma State University College of Osteopathic Medicine
Licensed in
OK
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5606 Pura Vida Trl
Stillwater, OK 74074-2692
Phone: (405) 880-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5704 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1710761812
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2025 (1 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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