| Dr Jordan Scott Anderson, DO | |
|
1011 14th Ave Nw, Ardmore, OK 73401-1828 | |
| (580) 226-1251 | |
| Not Available |
| Full Name | Dr Jordan Scott Anderson |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1011 14th Ave Nw, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275107377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | V1011 (Texas) | Primary |
| 207L00000X | Anesthesiology | 9524 (Oklahoma) | Secondary |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jordan Scott Anderson, DO Po Box 21228, Dept 99, Tulsa, OK 74121-1228 Ph: (580) 226-1251 | Dr Jordan Scott Anderson, DO 1011 14th Ave Nw, Ardmore, OK 73401-1828 Ph: (580) 226-1251 |
Adam Michael Savage, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 731 12th Ave Nw, Suite 302, Ardmore, OK 73401 Phone: 580-220-6200 Fax: 580-220-6258 | |
Bryan Eliot Shapiro, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 405-272-9644 | |
Michael Mccarty, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 405-272-0361 | |
John Wilkes, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 580-226-1251 | |
Dr. William M Lytkowski, D.O. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1103 Walnut Dr, Ardmore, OK 73401 Phone: 580-504-3999 | |
Norma Hutson, CRNA Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2002 12th Ave Nw, Suite C, Ardmore, OK 73401 Phone: 580-226-1251 |