| Ghaith Al-qudah, MD | |
|
435 N Monte Vista St, Ada, OK 74820-4676 | |
| (580) 310-0102 | |
| (580) 310-0104 |
| Full Name | Ghaith Al-qudah |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 11 Years |
| Location | 435 N Monte Vista St, Ada, Oklahoma |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629421409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 39005 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ada | Ada, OK | Hospital |
| Holdenville General Hospital | Holdenville, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghaith Al-qudah, MD 435 N Monte Vista St, Ada, OK 74820-4676 Ph: (580) 310-0102 | Ghaith Al-qudah, MD 435 N Monte Vista St, Ada, OK 74820-4676 Ph: (580) 310-0102 |
Dr. Danielle Renee Burkdoll, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Blvd, Ada, OK 74820 Phone: 580-436-3980 Fax: 580-421-6283 | |
Dr. Celeste Coleen Adrian, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104 | |
Dr. Justin B Plaxico, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104 | |
Dr. Dezarae Leto, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980 | |
Mr. Robert Luther Waddell, MD Surgery Medicare: Medicare Enrolled Practice Location: 435 N Monte Vista, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104 | |
Douglas Thornton, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 435 N Monte Vista St, Ada, OK 74820 Phone: 580-310-0102 Fax: 580-310-0104 |