| Scott Street, DO | |
|
817 S Elm Pl Ste 106, Broken Arrow, OK 74012-5369 | |
| (918) 928-5437 | |
| (888) 720-8944 |
| Full Name | Scott Street |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 817 S Elm Pl Ste 106, Broken Arrow, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700014271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7212 (Kansas) | Primary |
| 207Q00000X | Family Medicine | 5821 (Oklahoma) | Secondary |
| Entity Name | St John Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
| Entity Name | Hospitalist Medicine Physicians Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20180326002260 |
| Entity Name | Cogent Healthcare Of Texas Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992722953 PECOS PAC ID: 8628076924 Enrollment ID: O20210209000102 |
| Entity Name | Tulsa Hospital Medicine Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144982711 PECOS PAC ID: 7214327832 Enrollment ID: O20211214000389 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Street, DO 1010 N. Kansas, Wcgme, Wichita, KS 67214 Ph: (316) 962-3030 | Scott Street, DO 817 S Elm Pl Ste 106, Broken Arrow, OK 74012-5369 Ph: (918) 928-5437 |
Dr. James Michael Ritze, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3100 S Elm Pl, Suite C, Broken Arrow, OK 74012 Phone: 918-451-9988 | |
Nicole Paola Mathes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 Phone: 918-994-9166 Fax: 918-403-6306 | |
Sujan Joshi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743 | |
Robert Jeffrey Wright, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 800 W Boise Cir Ste 160, Broken Arrow, OK 74012 Phone: 918-994-9160 Fax: 918-403-6306 | |
Christopher Jason Guinn, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2617 S Elm Pl Ste 100, Broken Arrow, OK 74012 Phone: 918-455-4541 Fax: 918-449-9743 | |
Bart Rider, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 2950 S Elm Pl, Ste 160, Broken Arrow, OK 74012 Phone: 918-449-3750 Fax: 918-449-3755 | |
Dr. Jefferey L Davis, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2021 S Elm Place, Broken Arrow, OK 74012 Phone: 918-806-6461 Fax: 918-806-6710 |