| Osu Speech-language-hearing Clinic | |
|
042 Murray, Stillwater, OK 74078 | |
| (405) 744-6021 | |
| (405) 744-8070 |
| Full Name | Osu Speech-language-hearing Clinic |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 042 Murray, Stillwater, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700994878 | NPI | - | NPPES |
| 100757330B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (Oklahoma) | Secondary |
| 235Z00000X | Speech-language Pathologist | (Oklahoma) | Primary |
| Provider Name | Aaron Q Lane |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669431169 PECOS PAC ID: 0547160319 Enrollment ID: I20040109000592 |
| Provider Name | Michael L Thomas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700847589 PECOS PAC ID: 1658369251 Enrollment ID: I20040503001463 |
| Provider Name | Lora Dianne Cotton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790736577 PECOS PAC ID: 9931182862 Enrollment ID: I20040610001355 |
| Provider Name | John Franco A Carabello |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1245390863 PECOS PAC ID: 2365429420 Enrollment ID: I20040707000039 |
| Provider Name | Daniel E Wildes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932163565 PECOS PAC ID: 7113998071 Enrollment ID: I20040806000158 |
| Provider Name | Laurie A Duckett |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1114923794 PECOS PAC ID: 9739151473 Enrollment ID: I20040812000010 |
| Provider Name | Brian C Diener |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1699717322 PECOS PAC ID: 8325011901 Enrollment ID: I20040813000215 |
| Provider Name | Vivian M Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245291012 PECOS PAC ID: 9638148430 Enrollment ID: I20040929000006 |
| Provider Name | Darci D Coffman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417933185 PECOS PAC ID: 3870554876 Enrollment ID: I20041022000819 |
| Provider Name | Angela D Christy-owens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437113123 PECOS PAC ID: 6204892672 Enrollment ID: I20041207000921 |
| Provider Name | Wynter W Kipgen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366434300 PECOS PAC ID: 7618920646 Enrollment ID: I20050301001027 |
| Provider Name | Timothy T Mccay |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1245221761 PECOS PAC ID: 2961456538 Enrollment ID: I20050307000314 |
| Provider Name | Jay K Johnson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043224264 PECOS PAC ID: 8729021803 Enrollment ID: I20050609000415 |
| Provider Name | David L Mcelwain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003928334 PECOS PAC ID: 8628019577 Enrollment ID: I20050718000588 |
| Provider Name | Lana D Myers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164403986 PECOS PAC ID: 9537100268 Enrollment ID: I20050908000032 |
| Provider Name | Michael T Cannon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124080106 PECOS PAC ID: 9032140413 Enrollment ID: I20051107000052 |
| Provider Name | Gary R Denny |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558393637 PECOS PAC ID: 1557258068 Enrollment ID: I20051108000447 |
| Provider Name | Regina M Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942218789 PECOS PAC ID: 0648270280 Enrollment ID: I20070105000240 |
| Provider Name | Heather D Rector |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417150798 PECOS PAC ID: 4981795564 Enrollment ID: I20070810000659 |
| Provider Name | Robin R Dyer |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1851328983 PECOS PAC ID: 0840382503 Enrollment ID: I20070825000095 |
| Provider Name | Julia Katherine Warnock |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942226394 PECOS PAC ID: 0143316323 Enrollment ID: I20071018000812 |
| Provider Name | William David Po |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609832898 PECOS PAC ID: 3779526876 Enrollment ID: I20080814000741 |
| Provider Name | Aaron M Pierce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700922820 PECOS PAC ID: 3678648235 Enrollment ID: I20080815000273 |
| Provider Name | Rhonda L Casey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801864558 PECOS PAC ID: 3274601828 Enrollment ID: I20081008000852 |
| Provider Name | Whitney L Latham |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255508826 PECOS PAC ID: 7719049121 Enrollment ID: I20081218000645 |
| Provider Name | Hal Haylor Robbins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396908752 PECOS PAC ID: 0840354759 Enrollment ID: I20090121000436 |
| Provider Name | Michael R Schiesel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1891959581 PECOS PAC ID: 2163586538 Enrollment ID: I20090129000392 |
| Provider Name | Sarah Martin Hall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659529279 PECOS PAC ID: 6103974977 Enrollment ID: I20090505000185 |
| Provider Name | Arash Karnama |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326256942 PECOS PAC ID: 2668522509 Enrollment ID: I20090615000431 |
| Provider Name | Mousumi Som |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730350034 PECOS PAC ID: 6709937899 Enrollment ID: I20090701000237 |
| Provider Name | Swapna N Deshpande |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831228170 PECOS PAC ID: 6709939887 Enrollment ID: I20090807000080 |
| Provider Name | Mark H Thai |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1235397845 PECOS PAC ID: 0446305940 Enrollment ID: I20090908000039 |
| Provider Name | Carrie A Gilstrap |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1639339104 PECOS PAC ID: 7012053929 Enrollment ID: I20091007000298 |
| Provider Name | Christopher C Thurman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295796084 PECOS PAC ID: 2365579976 Enrollment ID: I20100429000625 |
| Provider Name | Damon L Baker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124096573 PECOS PAC ID: 7911035191 Enrollment ID: I20100507000771 |
| Provider Name | Shawna R Segraves Duncan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1568431328 PECOS PAC ID: 0345378360 Enrollment ID: I20100512001051 |
| Provider Name | Jenny J Alexopulos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962470609 PECOS PAC ID: 0840328688 Enrollment ID: I20100514000485 |
| Provider Name | Christine D Clary |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770551897 PECOS PAC ID: 1557499290 Enrollment ID: I20100517000610 |
| Provider Name | Amanda G Foster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124043666 PECOS PAC ID: 3779612486 Enrollment ID: I20100518000650 |
| Provider Name | Kayse M Shrum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093775413 PECOS PAC ID: 3870622004 Enrollment ID: I20100527000088 |
| Provider Name | David M Wilkett |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922080860 PECOS PAC ID: 1557304383 Enrollment ID: I20100825001172 |
| Provider Name | Katherine D Cook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821253410 PECOS PAC ID: 9638294747 Enrollment ID: I20100913001152 |
| Provider Name | Colony S Fugate |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073619425 PECOS PAC ID: 8224154695 Enrollment ID: I20100923000615 |
| Provider Name | Travis D Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114174836 PECOS PAC ID: 9133245301 Enrollment ID: I20100924000502 |
| Provider Name | Malinda Arrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750365698 PECOS PAC ID: 0648458687 Enrollment ID: I20110622000573 |
| Provider Name | Samuel Martin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467659953 PECOS PAC ID: 8729259973 Enrollment ID: I20110919000706 |
| Provider Name | Trevor P Courouleau |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1376598102 PECOS PAC ID: 9234301045 Enrollment ID: I20111026000600 |
| Provider Name | Jeremy Lee Jones |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124257852 PECOS PAC ID: 0840463345 Enrollment ID: I20111028000058 |
| Provider Name | Erin R Kratz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417285750 PECOS PAC ID: 3971776964 Enrollment ID: I20111108000560 |
| Provider Name | Thomas J. Palmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699074468 PECOS PAC ID: 1557529955 Enrollment ID: I20120214000664 |
| Provider Name | John R Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952620767 PECOS PAC ID: 5395991871 Enrollment ID: I20121019000245 |
| Provider Name | Adam D Bradley |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790076222 PECOS PAC ID: 0244480580 Enrollment ID: I20121023000665 |
| Provider Name | Bethany Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265771497 PECOS PAC ID: 7517109291 Enrollment ID: I20130808000429 |
| Provider Name | Leslie M Ching |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1649599473 PECOS PAC ID: 3274772967 Enrollment ID: I20130815000254 |
| Provider Name | Binh T Phung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023339462 PECOS PAC ID: 3274775390 Enrollment ID: I20130820000061 |
| Provider Name | Jason W Beaman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720274376 PECOS PAC ID: 2860649845 Enrollment ID: I20131028001227 |
| Provider Name | Steffen E Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659660215 PECOS PAC ID: 2567698939 Enrollment ID: I20131114000358 |
| Provider Name | Shaun C Baranowski |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1144656331 PECOS PAC ID: 6901033190 Enrollment ID: I20131213001278 |
| Provider Name | Steve S Kim |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1467698324 PECOS PAC ID: 6901036763 Enrollment ID: I20140224001432 |
| Provider Name | Matthew Bryan Fowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083904841 PECOS PAC ID: 8921228990 Enrollment ID: I20140926000146 |
| Provider Name | Sara Marie Coffey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457508525 PECOS PAC ID: 4789828575 Enrollment ID: I20141027000689 |
| Provider Name | Laura L Bode |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1578853651 PECOS PAC ID: 7214159219 Enrollment ID: I20141106001259 |
| Provider Name | Cameron C Henderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184981441 PECOS PAC ID: 3375863186 Enrollment ID: I20150519001405 |
| Provider Name | Jennifer E Wilson |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1932464500 PECOS PAC ID: 0648591438 Enrollment ID: I20150604002356 |
| Provider Name | Terri Reed |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235497926 PECOS PAC ID: 2567779234 Enrollment ID: I20150911001869 |
| Provider Name | Micah Derby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548605199 PECOS PAC ID: 9032428032 Enrollment ID: I20151014000194 |
| Provider Name | Stacy Marie Chronister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194987750 PECOS PAC ID: 5991965899 Enrollment ID: I20151113000137 |
| Provider Name | Laurie C Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801864178 PECOS PAC ID: 4486709391 Enrollment ID: I20151119000441 |
| Provider Name | Kristina Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760742282 PECOS PAC ID: 3375844962 Enrollment ID: I20151228001052 |
| Provider Name | Amanda Carey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184966335 PECOS PAC ID: 9638461924 Enrollment ID: I20160706002472 |
| Provider Name | Justin David Chronister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720248529 PECOS PAC ID: 2163696717 Enrollment ID: I20161021001921 |
| Provider Name | Shane Seiji Yamane |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1336102342 PECOS PAC ID: 3678503174 Enrollment ID: I20170215001654 |
| Provider Name | Chad D Hanson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649561713 PECOS PAC ID: 2264720168 Enrollment ID: I20170518002089 |
| Provider Name | Anna Mazur Mosiewicz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467858662 PECOS PAC ID: 4981971017 Enrollment ID: I20170522000919 |
| Provider Name | William Hartford Woods |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265851984 PECOS PAC ID: 6305114000 Enrollment ID: I20170621003008 |
| Provider Name | Kristin L Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164842845 PECOS PAC ID: 2466722293 Enrollment ID: I20170726002954 |
| Provider Name | Erin E Brown |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871930008 PECOS PAC ID: 8123317666 Enrollment ID: I20170811000333 |
| Provider Name | Carlos M Guevara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306188701 PECOS PAC ID: 3375814270 Enrollment ID: I20170811000690 |
| Provider Name | Julie Ann Dionne |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851717755 PECOS PAC ID: 0446516702 Enrollment ID: I20171102002413 |
| Provider Name | Marinn Rank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417298837 PECOS PAC ID: 7911263058 Enrollment ID: I20171107000481 |
| Provider Name | Sara E Rich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225461775 PECOS PAC ID: 4789944026 Enrollment ID: I20180207001026 |
| Provider Name | Kelly Jordan Dunn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477972495 PECOS PAC ID: 7113272816 Enrollment ID: I20180621000249 |
| Provider Name | Teresa Hardesty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528446804 PECOS PAC ID: 8426305327 Enrollment ID: I20180724002206 |
| Provider Name | Micah Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295195824 PECOS PAC ID: 4082964366 Enrollment ID: I20180906003395 |
| Provider Name | Stephen Joseph Brasseux |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790867687 PECOS PAC ID: 5193863066 Enrollment ID: I20180917000405 |
| Provider Name | Angelia Dawn Diab |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326532896 PECOS PAC ID: 3779834346 Enrollment ID: I20180920000873 |
| Provider Name | Jason Robert Moore |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902037104 PECOS PAC ID: 3274679675 Enrollment ID: I20181003003177 |
| Provider Name | Nancy J Wright |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255409397 PECOS PAC ID: 3779827878 Enrollment ID: I20181130000215 |
| Provider Name | Lisa Ashley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962900787 PECOS PAC ID: 3274877337 Enrollment ID: I20181130002209 |
| Provider Name | Kristi Dee Carpenter |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629224720 PECOS PAC ID: 1850621434 Enrollment ID: I20190924003620 |
| Provider Name | Brian Goetsch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1689122657 PECOS PAC ID: 3375825748 Enrollment ID: I20191101001055 |
| Provider Name | Sherri Norton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851940365 PECOS PAC ID: 5890027155 Enrollment ID: I20191106001094 |
| Provider Name | Christel L Dixon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861733933 PECOS PAC ID: 7719313782 Enrollment ID: I20200211001485 |
| Provider Name | Glennda Deighann Tiller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992245120 PECOS PAC ID: 1052735289 Enrollment ID: I20200721003755 |
| Provider Name | Janell Leann Largent |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649625286 PECOS PAC ID: 7315363629 Enrollment ID: I20200818000848 |
| Provider Name | Kaelyn Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245792548 PECOS PAC ID: 1052730785 Enrollment ID: I20200930001268 |
| Provider Name | Garren Gebhardt |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1144278037 PECOS PAC ID: 9234212408 Enrollment ID: I20201026001515 |
| Provider Name | Alessandra Morello Gearhart |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1639412612 PECOS PAC ID: 6103193891 Enrollment ID: I20201117001088 |
| Provider Name | Sherrita Polk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639603723 PECOS PAC ID: 2668703174 Enrollment ID: I20201202002550 |
| Provider Name | Trevor Clayton Anderson |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1912392341 PECOS PAC ID: 2860794195 Enrollment ID: I20210526003458 |
| Provider Name | Lauren Deanna Chinnery |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255863395 PECOS PAC ID: 2860891306 Enrollment ID: I20210603000407 |
| Provider Name | Sarah Souvannachak Bradley |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1972044998 PECOS PAC ID: 2365841822 Enrollment ID: I20210603001054 |
| Provider Name | Andrew Hale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851786412 PECOS PAC ID: 6507266558 Enrollment ID: I20210611001628 |
| Provider Name | Kimberly Dawne Barron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659812477 PECOS PAC ID: 6406257831 Enrollment ID: I20210623001799 |
| Provider Name | Brit'ny Leigh Stein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447924964 PECOS PAC ID: 2264838051 Enrollment ID: I20210902000022 |
| Provider Name | Jonathan Peaster |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467913368 PECOS PAC ID: 8123425089 Enrollment ID: I20210921001120 |
| Provider Name | Reagan Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326587833 PECOS PAC ID: 6103204060 Enrollment ID: I20220606000259 |
| Provider Name | Rachael Ann Cobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841759701 PECOS PAC ID: 0648659144 Enrollment ID: I20220613002933 |
| Provider Name | Michael A Hiebert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083154215 PECOS PAC ID: 6507281151 Enrollment ID: I20220614002261 |
| Provider Name | Baylee L Arreola |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104388594 PECOS PAC ID: 1658750013 Enrollment ID: I20220615002790 |
| Provider Name | Kryston Renee Boyer |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1487036604 PECOS PAC ID: 1153701172 Enrollment ID: I20220708001214 |
| Provider Name | Mark Justin Parks |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205336229 PECOS PAC ID: 6305228073 Enrollment ID: I20220728001300 |
| Provider Name | Rachel Lynn Wirginis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437642279 PECOS PAC ID: 3870975279 Enrollment ID: I20220802001333 |
| Provider Name | Megan Kara Deitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770716631 PECOS PAC ID: 7315322468 Enrollment ID: I20220909003141 |
| Provider Name | Bradley Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477016319 PECOS PAC ID: 8426439969 Enrollment ID: I20221012002761 |
| Provider Name | Courtney Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235586371 PECOS PAC ID: 8426478306 Enrollment ID: I20221125000161 |
| Provider Name | Jazmin Baker |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124312004 PECOS PAC ID: 9537476601 Enrollment ID: I20221216000875 |
| Provider Name | Noeen Sarfraz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194257840 PECOS PAC ID: 8224303359 Enrollment ID: I20230207001665 |
| Provider Name | Osekpamen Wickliffe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407341142 PECOS PAC ID: 5799033478 Enrollment ID: I20230306002662 |
| Provider Name | Jennifer Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099794 PECOS PAC ID: 2264898808 Enrollment ID: I20230524000051 |
| Provider Name | Thomas James Dewey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275162356 PECOS PAC ID: 7214396936 Enrollment ID: I20230628003914 |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Speech-language-hearing Clinic 042 Murray, Stillwater, OK 74078-5062 Ph: (405) 744-6021 | Osu Speech-language-hearing Clinic 042 Murray, Stillwater, OK 74078 Ph: (405) 744-6021 |
Madeline Calder, MS, CF-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 120 N Perkins Rd Ste F, Stillwater, OK 74075 Phone: 405-564-2701 Fax: 888-581-6850 | |
Sarah Davenport, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1321 W 7th Ave, Stillwater, OK 74074 Phone: 405-624-0726 | |
Rebecca Lou Pendleton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1707 E 3rd Ave, Stillwater, OK 74074 Phone: 405-762-1269 | |
Riley Herman, MS, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 120 N Perkins Rd Ste F, Stillwater, OK 74075 Phone: 405-564-2701 Fax: 888-581-6850 | |
Stillwater Speech-language Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 814 S Walnut St, Stillwater, OK 74074 Phone: 405-377-8255 Fax: 405-377-8255 | |
Haly Mcquaig, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 120 N Perkins Rd Ste F, Stillwater, OK 74075 Phone: 405-564-2701 | |
Amanda Good, CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 114 Randolph Ct, Stillwater, OK 74075 Phone: 405-612-2329 |