Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gina Provenzano, MD

Individual provider Orthopaedic Surgery Physician · NPI 1841784030

Gina Provenzano, MD is an Orthopedic Surgery in Edmond, Oklahoma. Graduated from University of South Florida College of Medicine in 2018, 8 years ago. Practices with Mercy Clinic Oklahoma Communities, a 648-clinician group and accepts Medicare assignment. Licensed in Oklahoma and Pennsylvania.

Years since qualifying
8
Trained at
University of South Florida College of Medicine
Licensed in
OK, PA
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2017 W I 35 Frontage Rd Ste 250
Edmond, OK 73013-8561
Phone: (405) 757-3340
Fax: (405) 757-3520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 42869 (OK)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD481359 (PA)

Record details

NPI number1841784030
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2018
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Mercy Clinic Oklahoma Communities — 648 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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