| Mr John C Vallandigham, MD | |
|
304 S 29th St, Chickasha, OK 73018-2501 | |
| (405) 896-8058 | |
| (855) 223-1999 |
| Full Name | Mr John C Vallandigham |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 304 S 29th St, Chickasha, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265438501 | NPI | - | NPPES |
| 200002950A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24142 (Oklahoma) | Primary |
| Entity Name | Northeastern Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
| Entity Name | Board of Regents of the University of Oklahoma OU Physicians Tulsa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154385730 PECOS PAC ID: 5395645329 Enrollment ID: O20040113000654 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr John C Vallandigham, MD Po Box 929, Chickasha, OK 73023-0929 Ph: (405) 896-8058 | Mr John C Vallandigham, MD 304 S 29th St, Chickasha, OK 73018-2501 Ph: (405) 896-8058 |
Anupama Bekkem, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2100 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-2100 |
Ross Lane Fisher, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-896-8058 Fax: 855-223-1999 |
Dr. Thomas Essex, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 304 S 29th St, Chickasha, OK 73018 Phone: 405-896-8058 Fax: 844-965-9881 |
Karen S Maluf, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2222 W Iowa Ave, Chickasha, OK 73018 Phone: 405-224-8111 Fax: 405-222-9561 |