| Walid John Haddad, MD | |
|
3306 N Kickapoo Ave Ste 150, Shawnee, OK 74804-1718 | |
| (405) 628-6535 | |
| (405) 972-7587 |
| Full Name | Walid John Haddad |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 29 Years |
| Location | 3306 N Kickapoo Ave Ste 150, Shawnee, 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 |
|---|---|---|---|
| 1487600060 | NPI | - | NPPES |
| 100032920A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 20655 (Oklahoma) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 20655 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Oklahoma Heart Hospital South, Llc | Oklahoma city, OK | Hospital |
| Oklahoma Heart Hospital, Llc | Oklahoma city, OK | Hospital |
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ohh Physicians Llc | 1759392079 | 129 |
| Citizen Potawatomi Nation | 3375511488 | 35 |
| Entity Name | Shawnee Medical Center Clinic, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
| Entity Name | Mercy Hospital Oklahoma City, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922192186 PECOS PAC ID: 8022920982 Enrollment ID: O20031110000161 |
| Entity Name | Ohh Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023087772 PECOS PAC ID: 1759392079 Enrollment ID: O20060525000059 |
| Entity Name | St Anthony Shawnee Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619260411 PECOS PAC ID: 1052567328 Enrollment ID: O20121015000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Walid John Haddad, MD 7800 Nw 85th Ter, Oklahoma City, OK 73132-3385 Ph: () - | Walid John Haddad, MD 3306 N Kickapoo Ave Ste 150, Shawnee, OK 74804-1718 Ph: (405) 628-6535 |
Dr. Jeremy Patrick Holter, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Raphael C Francisco, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2029 Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-878-5850 | |
Dr. Michael W. Butcher, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Kelli Denise Koons, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Dr. Isma Nusrat Javed, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: Ssm Health Medical Group, 3315 Kethey, Shawnee, OK 74804 Phone: 404-273-5801 | |
Dr. Phillip A. Haddad, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 | |
Harold Stanley Wood, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 3315 Kethley Rd, Shawnee, OK 74804 Phone: 405-273-5801 Fax: 405-878-3814 |