Provider Demographics
NPI:1689565962
Name:OAKLEY, GREGORY II
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:
Last Name:OAKLEY
Suffix:II
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 1:6102 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46226-3602
Mailing Address - Country:US
Mailing Address - Phone:317-827-3395
Mailing Address - Fax:
Practice Address - Street 1:6102 E 43RD ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46226-3602
Practice Address - Country:US
Practice Address - Phone:317-827-3395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies