| Dr Isma Nusrat Javed, MD | |
|
Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 | |
| (404) 273-5801 | |
| Not Available |
| Full Name | Dr Isma Nusrat Javed |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Location | Ssm Health Medical Group, Shawnee, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285087536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 32274 (Oklahoma) | Primary |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Saints Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
| Entity Name | St Anthony Shawnee Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Isma Nusrat Javed, MD Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Ph: (404) 273-5801 | Dr Isma Nusrat Javed, MD Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Ph: (404) 273-5801 |
Dr. Jeremy Patrick Holter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Raphael C Francisco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Dr. Michael W. Butcher, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Kelli Denise Koons, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Phillip A. Haddad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Harold Stanley Wood, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |