| Dr Ryan Daniel Gholson, MD | |
|
6371 N Wildwood Ln, Owasso, OK 74055-7566 | |
| (918) 269-4011 | |
| Not Available |
| Full Name | Dr Ryan Daniel Gholson |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology - Obstetrics |
| Location | 6371 N Wildwood Ln, Owasso, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285951186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | 390200000X (Oklahoma) | Primary |
| Entity Name | Northeastern Oklahoma Community Health Centers, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518070481 PECOS PAC ID: 3678482635 Enrollment ID: O20031104000417 |
| Entity Name | Obhg Oklahoma, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043595374 PECOS PAC ID: 4183881121 Enrollment ID: O20120203000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ryan Daniel Gholson, MD 2401 Southwest Blvd, Tulsa, OK 74107-2726 Ph: (918) 561-5701 | Dr Ryan Daniel Gholson, MD 6371 N Wildwood Ln, Owasso, OK 74055-7566 Ph: (918) 269-4011 |
Cara Leanne Thompson, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N Ste 220, Owasso, OK 74055 Phone: 918-274-5555 Fax: 918-302-6329 | |
Roger K Pfeiffer, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N, Ste 220, Owasso, OK 74055 Phone: 918-274-5555 Fax: 918-293-3167 | |
Darren Lawrence Vargas, D.O Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 10512 N 110th East Ave Ste 200, Owasso, OK 74055 Phone: 918-376-8450 | |
Martiann Lee Bohl-witchey, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 12455 E 100th St N Ste 220, Owasso, OK 74055 Phone: 918-274-5555 | |
Zachary Michael Mullins, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N Ste 220, Owasso, OK 74055 Phone: 918-274-5555 | |
Kimberly A Sorensen, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 12455 E 100th St N, Ste 220, Owasso, OK 74055 Phone: 918-274-1555 Fax: 918-293-3167 |