| Jerry David Whatley, MD | |
|
509 Grand Ave, Ardmore, OK 73401-4338 | |
| (580) 223-3300 | |
| (580) 223-3320 |
| Full Name | Jerry David Whatley |
|---|---|
| Gender | Male |
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 509 Grand Ave, Ardmore, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780634816 | NPI | - | NPPES |
| 100114070G | Other | OK | SOONERCARE MCD # |
| 19096 | Other | OK | OKLAHOMA LICENSE # |
| 731612230 | Other | OK | TAX ID # |
| 100114070A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | 19096 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry David Whatley, MD 936 Deese Rd, Ardmore, OK 73401-9315 Ph: (580) 224-9035 | Jerry David Whatley, MD 509 Grand Ave, Ardmore, OK 73401-4338 Ph: (580) 223-3300 |
Dr. Pete C. Chambers, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1306 12th Ave Nw, Ardmore, OK 73401 Phone: 580-223-6003 Fax: 580-223-6999 | |
Steven K Watkins, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 908 N Rockford Rd, Suite G, Ardmore, OK 73401 Phone: 580-490-9411 Fax: 580-490-9415 | |
Dr. James Forrestal, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 830 16th Ave Nw, Ardmore, OK 73401 Phone: 580-226-5120 Fax: 580-223-1003 | |
Brooks B Zimmerman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 N Commerce St, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-2397 | |
Oludayo Olusanya, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401 Phone: 580-220-6378 Fax: 580-220-6772 | |
Dr. Cameron Paul Lancarte, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 N Commerce St, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-2397 | |
Summer Kirby, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 921 14th Ave Nw, Ardmore, OK 73401 Phone: 580-223-5311 Fax: 580-223-8227 |