| Amanda Madden, DO | |
|
5795 S Elm Pl, Broken Arrow, OK 74011-4893 | |
| (918) 716-5437 | |
| Not Available |
| Full Name | Amanda Madden |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 5795 S Elm Pl, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952574519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 2006016533 (Missouri) | Primary |
| Entity Name | Emergency Medicine Physicians Of Tulsa County Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003098773 PECOS PAC ID: 8628140225 Enrollment ID: O20080626000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Madden, DO 2401 Gillham Rd, Kansas City, MO 64108-4619 Ph: (816) 234-3000 | Amanda Madden, DO 5795 S Elm Pl, Broken Arrow, OK 74011-4893 Ph: (918) 716-5437 |
Latina D Shelley, APRN, CPNP-PC Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 S Elm Pl Ste 106, Broken Arrow, OK 74012 Phone: 918-928-5437 Fax: 888-720-8944 | |
Dr. Suresh Bharani, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3300 S Aspen Ave, Suite B, Broken Arrow, OK 74012 Phone: 918-455-4140 | |
Dr. Lisa Diane Macek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2950 S Elm Pl, Suite 160, Broken Arrow, OK 74012 Phone: 918-449-3750 Fax: 918-449-3755 | |
Dr. Douglas W Richmond, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5795 S Elm Pl, Broken Arrow, OK 74011 Phone: 918-716-5437 | |
Anne K Harrington, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2950 S Elm Pl, Ste 430, Broken Arrow, OK 74012 Phone: 918-449-4061 Fax: 918-449-4065 | |
Dr. Carl Erwin Pfanstiel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1220 N Elm Place, Broken Arrow, OK 74012 Phone: 918-258-1955 Fax: 918-251-5802 | |
Julie Gail Sullivan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1615 S Eucalyptus Ave, Suite 210, Broken Arrow, OK 74012 Phone: 918-254-6822 Fax: 918-254-6823 |