| Thomas R Todd, MD | |
|
4716 W Urbana St Ste 211, Broken Arrow, OK 74012-6157 | |
| (187) 104-1129 | |
| Not Available |
| Full Name | Thomas R Todd |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 4716 W Urbana St Ste 211, 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 |
|---|---|---|---|
| 1619919487 | NPI | - | NPPES |
| 100132190C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 20778 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 20778 (Oklahoma) | Primary |
| Entity Name | Choctaw County City Of Hugo Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881689289 PECOS PAC ID: 8022921519 Enrollment ID: O20031111000136 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas R Todd, MD 4716 W Urbana St, Ste 211, Broken Arrow, OK 74012-6157 Ph: (918) 710-4112 | Thomas R Todd, MD 4716 W Urbana St Ste 211, Broken Arrow, OK 74012-6157 Ph: (187) 104-1129 |
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 |