| Ohh Physicians, Llc | |
|
4050 W Memorial Rd Oklahoma City OK 73120-8382 | |
| (405) 608-3800 | |
| (405) 608-3838 |
| Full Name | Ohh Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4050 W Memorial Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Tracy Enloe (CFO) |
| Authorized Official Contact | 4056083800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohh Physicians, Llc 4050 W Memorial Rd Third Floor Oklahoma City OK 73120-8382 Ph: (405) 608-3800 | Ohh Physicians, Llc 4050 W Memorial Rd Oklahoma City OK 73120-8382 Ph: (405) 608-3800 |
| NPI Number | 1023087772 |
|---|---|
| Provider Enumeration Date | 03/15/2006 |
| Last Update Date | 10/28/2021 |
| Certification Date | 10/28/2021 |
| Medicare PECOS PAC ID | 1759392079 |
|---|---|
| Medicare Enrollment ID | O20060525000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023087772 | NPI | - | NPPES |
| 200080110A | Medicaid | OK |
| Provider Name | Janet Sue Pasquali Bowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184681694 PECOS PAC ID: 5799679528 Enrollment ID: I20040211001060 |
| Provider Name | Marc A Weitzel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1669469565 PECOS PAC ID: 8820983224 Enrollment ID: I20040216000802 |
| Provider Name | Mazen Abu-fadel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992714851 PECOS PAC ID: 4981694437 Enrollment ID: I20040517000017 |
| Provider Name | Lenny D Stubbs |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1942297817 PECOS PAC ID: 6002890274 Enrollment ID: I20040615001388 |
| Provider Name | Mark N Harvey |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1336136316 PECOS PAC ID: 9739079823 Enrollment ID: I20040916000398 |
| Provider Name | Michael Timothy Hauser |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1245227354 PECOS PAC ID: 3274423363 Enrollment ID: I20040924000250 |
| Provider Name | Todd E Lindley |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1548257512 PECOS PAC ID: 8022086495 Enrollment ID: I20040924000405 |
| Provider Name | Thomas Mcgarry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427045400 PECOS PAC ID: 7517858608 Enrollment ID: I20040924000416 |
| Provider Name | Arif A Shakir |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326075789 PECOS PAC ID: 0547239402 Enrollment ID: I20040928000404 |
| Provider Name | Michael A Scherlag |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1578550505 PECOS PAC ID: 6103894571 Enrollment ID: I20040928000722 |
| Provider Name | Michael E Schoeffler |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1912994880 PECOS PAC ID: 3779552609 Enrollment ID: I20040928000786 |
| Provider Name | Brook D Scott |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1811984784 PECOS PAC ID: 9638060676 Enrollment ID: I20040928001011 |
| Provider Name | Muhammad Yasin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1396834677 PECOS PAC ID: 8729052287 Enrollment ID: I20050112000003 |
| Provider Name | Saeed Ahmad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285733881 PECOS PAC ID: 2668446121 Enrollment ID: I20050112000008 |
| Provider Name | Kevin W Miller |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1932258803 PECOS PAC ID: 2264481928 Enrollment ID: I20050125000011 |
| Provider Name | Zaheer U Baber |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730238601 PECOS PAC ID: 7214840800 Enrollment ID: I20050125000030 |
| Provider Name | Mohammed N Ahmed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053460923 PECOS PAC ID: 8628027380 Enrollment ID: I20050125000047 |
| Provider Name | Jerome P Mathias |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1780780551 PECOS PAC ID: 0446209100 Enrollment ID: I20050125000089 |
| Provider Name | Vivek J Bhaktaram |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760588545 PECOS PAC ID: 4981654357 Enrollment ID: I20050125000175 |
| Provider Name | Lawrence C Duroy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932190204 PECOS PAC ID: 7810945136 Enrollment ID: I20050228000229 |
| Provider Name | Oscar Falcon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184684003 PECOS PAC ID: 9436109790 Enrollment ID: I20050727001048 |
| Provider Name | Syed A Abbas |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1326032731 PECOS PAC ID: 3779473863 Enrollment ID: I20050815000543 |
| Provider Name | Michael L Partin |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1427090232 PECOS PAC ID: 7416988480 Enrollment ID: I20051107001213 |
| Provider Name | Shujahat H Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1356382030 PECOS PAC ID: 8527099597 Enrollment ID: I20051109000627 |
| Provider Name | Mohammad K. J. Ghani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134102916 PECOS PAC ID: 1850313891 Enrollment ID: I20051219000866 |
| Provider Name | Thomas Anthony Hennebry |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881662070 PECOS PAC ID: 2668495102 Enrollment ID: I20060110001012 |
| Provider Name | Nicholas Twidale |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104886209 PECOS PAC ID: 7012985484 Enrollment ID: I20060425000818 |
| Provider Name | Gregory B Vanzant |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932196839 PECOS PAC ID: 9830167204 Enrollment ID: I20060614000125 |
| Provider Name | Naeem K Tahirkheli |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1346237211 PECOS PAC ID: 8325075633 Enrollment ID: I20060614000138 |
| Provider Name | John D Randolph |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1629065636 PECOS PAC ID: 6305737198 Enrollment ID: I20060614000174 |
| Provider Name | Pamela Craven |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144214370 PECOS PAC ID: 7113817206 Enrollment ID: I20060614000286 |
| Provider Name | Carolyn R Corn |
|---|---|
| Provider Type | Practitioner - Nuclear Medicine |
| Provider Identifiers | NPI Number: 1225022585 PECOS PAC ID: 0941278311 Enrollment ID: I20060614000290 |
| Provider Name | Robert Mark Bodenhamer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1366436693 PECOS PAC ID: 5496645582 Enrollment ID: I20060614000294 |
| Provider Name | Barbara J Payne |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932196722 PECOS PAC ID: 5092727925 Enrollment ID: I20060615000038 |
| Provider Name | Branislav Schifferdecker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1013973304 PECOS PAC ID: 6800857467 Enrollment ID: I20060801000235 |
| Provider Name | Agha K Khan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1881655660 PECOS PAC ID: 4183671506 Enrollment ID: I20061109000216 |
| Provider Name | Parker K Truong |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1053409946 PECOS PAC ID: 3072515808 Enrollment ID: I20070208000072 |
| Provider Name | Rodanthee B Goodell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1639110372 PECOS PAC ID: 8628172954 Enrollment ID: I20070327000284 |
| Provider Name | Atulkumar K Patel |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1699779249 PECOS PAC ID: 3577667815 Enrollment ID: I20070327000336 |
| Provider Name | Soni J Zacharias |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1902947534 PECOS PAC ID: 8820197841 Enrollment ID: I20070615000312 |
| Provider Name | Rico A Guerra |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1144200759 PECOS PAC ID: 2062484678 Enrollment ID: I20071218000159 |
| Provider Name | Derek L Norman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376683573 PECOS PAC ID: 3072686989 Enrollment ID: I20080724000523 |
| Provider Name | Jack L Collier |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1043350275 PECOS PAC ID: 3274620240 Enrollment ID: I20080806000430 |
| Provider Name | Jeffrey V. Garrett |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1992901110 PECOS PAC ID: 2466527221 Enrollment ID: I20080814000046 |
| Provider Name | Beau M Hawkins |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1073654893 PECOS PAC ID: 0244305290 Enrollment ID: I20080826000605 |
| Provider Name | Steven D Miller |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1508939232 PECOS PAC ID: 9436110079 Enrollment ID: I20080918000730 |
| Provider Name | John A Hunter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568613065 PECOS PAC ID: 0749344117 Enrollment ID: I20090129000358 |
| Provider Name | Keri D Hampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942449376 PECOS PAC ID: 9234296005 Enrollment ID: I20090323000166 |
| Provider Name | Kristen N Sweet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407093313 PECOS PAC ID: 5799833174 Enrollment ID: I20090423000694 |
| Provider Name | Imran Virk |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497863815 PECOS PAC ID: 5092815407 Enrollment ID: I20090520000644 |
| Provider Name | Aamir Hameed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1245241793 PECOS PAC ID: 7012936131 Enrollment ID: I20090522000100 |
| Provider Name | Shoab Ahmed Nazir |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1992895478 PECOS PAC ID: 6406898303 Enrollment ID: I20090709000356 |
| Provider Name | Nabhan Alnabhan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215062799 PECOS PAC ID: 0446210439 Enrollment ID: I20090722000138 |
| Provider Name | Raha Nael |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1720128630 PECOS PAC ID: 2961557582 Enrollment ID: I20090903000498 |
| Provider Name | Walid John Haddad |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1487600060 PECOS PAC ID: 5395713762 Enrollment ID: I20091211000425 |
| Provider Name | Samuel B Hancock |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063672608 PECOS PAC ID: 3577699073 Enrollment ID: I20100408000359 |
| Provider Name | Jinok Chung |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1841385325 PECOS PAC ID: 7911966403 Enrollment ID: I20110222000176 |
| Provider Name | Jennifer Kaye Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659676591 PECOS PAC ID: 0941478614 Enrollment ID: I20110725000153 |
| Provider Name | Subha L Varahan |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730380965 PECOS PAC ID: 1759478647 Enrollment ID: I20111004000814 |
| Provider Name | Christopher Nelson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700096435 PECOS PAC ID: 8729266424 Enrollment ID: I20111116000379 |
| Provider Name | Eva Sawheny |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1053511675 PECOS PAC ID: 9638345275 Enrollment ID: I20120103000044 |
| Provider Name | Kela G Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427274695 PECOS PAC ID: 7315193463 Enrollment ID: I20120806000864 |
| Provider Name | Joseph A Horstman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1720198195 PECOS PAC ID: 5496901340 Enrollment ID: I20120808000339 |
| Provider Name | Michael Paul Koehler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1902031487 PECOS PAC ID: 1456508399 Enrollment ID: I20120828000306 |
| Provider Name | Scott D. Prater |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1497951719 PECOS PAC ID: 2264605534 Enrollment ID: I20130808000202 |
| Provider Name | Jennifer M Riggs |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295162519 PECOS PAC ID: 6305074402 Enrollment ID: I20140117001065 |
| Provider Name | Darbi Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003043480 PECOS PAC ID: 4981744091 Enrollment ID: I20140228001614 |
| Provider Name | Ronald Ray Magee |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1013918317 PECOS PAC ID: 5193709731 Enrollment ID: I20140519001117 |
| Provider Name | Joel Thomas |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1275675092 PECOS PAC ID: 9133360803 Enrollment ID: I20140703001672 |
| Provider Name | Nicole Tintera Tran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164683405 PECOS PAC ID: 2567687577 Enrollment ID: I20140708001010 |
| Provider Name | Paul Garabelli |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1831344662 PECOS PAC ID: 8729132113 Enrollment ID: I20140815001212 |
| Provider Name | Michelle A Piper |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1336566983 PECOS PAC ID: 8123246709 Enrollment ID: I20140822001336 |
| Provider Name | Charles Carvajal Te |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1285830760 PECOS PAC ID: 6305068727 Enrollment ID: I20141119000474 |
| Provider Name | Mohammad I Dotani |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1508854175 PECOS PAC ID: 7315920832 Enrollment ID: I20141229001237 |
| Provider Name | Coty W Jewell |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1063621381 PECOS PAC ID: 1254404031 Enrollment ID: I20150209001385 |
| Provider Name | Talla Rousan |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1497915672 PECOS PAC ID: 7315252202 Enrollment ID: I20150821012912 |
| Provider Name | Bilal Saeed |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1083878342 PECOS PAC ID: 5294041521 Enrollment ID: I20150902000325 |
| Provider Name | Loan P Nguyen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528352739 PECOS PAC ID: 6002124526 Enrollment ID: I20151002001932 |
| Provider Name | Katie Boone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700267077 PECOS PAC ID: 7517276546 Enrollment ID: I20151014001511 |
| Provider Name | Tiffany O Hinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306214374 PECOS PAC ID: 3072822824 Enrollment ID: I20151019002032 |
| Provider Name | Federico Silva Palacios |
|---|---|
| Provider Type | Practitioner - Peripheral Vascular Disease |
| Provider Identifiers | NPI Number: 1881913895 PECOS PAC ID: 4587967690 Enrollment ID: I20160728000895 |
| Provider Name | William A. Fuchs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649624495 PECOS PAC ID: 5193019834 Enrollment ID: I20160803002110 |
| Provider Name | Maya S Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639528938 PECOS PAC ID: 0547557704 Enrollment ID: I20161003001250 |
| Provider Name | Varun Khanna |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1013144799 PECOS PAC ID: 1951533876 Enrollment ID: I20161108000257 |
| Provider Name | Benjamin Harkess |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1073871265 PECOS PAC ID: 5193006179 Enrollment ID: I20170105001998 |
| Provider Name | Rachel Mcbride |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699219436 PECOS PAC ID: 4082991393 Enrollment ID: I20170613000989 |
| Provider Name | Syed Ali |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1760612014 PECOS PAC ID: 9830481563 Enrollment ID: I20170627001079 |
| Provider Name | Elizabeth Kendrick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245780642 PECOS PAC ID: 1951673706 Enrollment ID: I20170815000521 |
| Provider Name | Kimmie Phisaiwath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639662216 PECOS PAC ID: 3375894124 Enrollment ID: I20180918003751 |
| Provider Name | Kathy C Bryant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740643287 PECOS PAC ID: 1557613601 Enrollment ID: I20181017003392 |
| Provider Name | Natalie J Hyatt |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1932693520 PECOS PAC ID: 0941553051 Enrollment ID: I20181018002742 |
| Provider Name | Jennifer Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427530401 PECOS PAC ID: 4385988856 Enrollment ID: I20181211000375 |
| Provider Name | Jared Blake Hooker |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1609254465 PECOS PAC ID: 1254622285 Enrollment ID: I20190219001442 |
| Provider Name | Anne Elizabeth Dude |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083185813 PECOS PAC ID: 1052652278 Enrollment ID: I20190416000929 |
| Provider Name | Chelsea Mae Bruster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356902019 PECOS PAC ID: 2365770831 Enrollment ID: I20190821002563 |
| Provider Name | Jeffrey Mitchell Rhodes |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1568490753 PECOS PAC ID: 8729021654 Enrollment ID: I20190910002862 |
| Provider Name | Richard J Helton |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1497196687 PECOS PAC ID: 2668691866 Enrollment ID: I20191028002987 |
| Provider Name | Jennifer M Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821620642 PECOS PAC ID: 9537599451 Enrollment ID: I20200416003184 |
| Provider Name | Mark Anderson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1184030439 PECOS PAC ID: 7416174123 Enrollment ID: I20200625001278 |
| Provider Name | Salman Khalid |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1477832806 PECOS PAC ID: 0345560249 Enrollment ID: I20200724000627 |
| Provider Name | Stacie Jenelle Hanes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497364699 PECOS PAC ID: 0941628556 Enrollment ID: I20200915000039 |
| Provider Name | Tina Michele Tillison-price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154946721 PECOS PAC ID: 3072932771 Enrollment ID: I20200930000376 |
| Provider Name | Brenda Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407471402 PECOS PAC ID: 5890106124 Enrollment ID: I20201118000241 |
| Provider Name | Jordyn T Carlton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750845012 PECOS PAC ID: 0547672313 Enrollment ID: I20201221000086 |
| Provider Name | Erica Lynn Melick |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1255903662 PECOS PAC ID: 7911302666 Enrollment ID: I20210819000245 |
| Provider Name | Brennan David Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215692702 PECOS PAC ID: 3274923479 Enrollment ID: I20211202000414 |
| Provider Name | Jay Oaks |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790786085 PECOS PAC ID: 9032193669 Enrollment ID: I20220207002529 |
| Provider Name | Alexandria Paige Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366969057 PECOS PAC ID: 6305101932 Enrollment ID: I20220228000007 |
| Provider Name | Ian Parker |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1306262712 PECOS PAC ID: 3971998030 Enrollment ID: I20220328001919 |
| Provider Name | William Earl Pruitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811624810 PECOS PAC ID: 6800270190 Enrollment ID: I20220906002357 |
| Provider Name | Summer Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598357972 PECOS PAC ID: 4587039656 Enrollment ID: I20230404001538 |
| Provider Name | Alice Le Huu |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1790274272 PECOS PAC ID: 5294132346 Enrollment ID: I20240430001026 |
| Provider Name | Michael Houck |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1144208315 PECOS PAC ID: 9133128655 Enrollment ID: I20240725000097 |
| Provider Name | Cassidy Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740054634 PECOS PAC ID: 6709310402 Enrollment ID: I20241115003750 |
| Provider Name | Lin Zhang Danowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902629280 PECOS PAC ID: 3779018577 Enrollment ID: I20241202003357 |
| Provider Name | Jay Daniel Fashimpaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104642875 PECOS PAC ID: 9830626514 Enrollment ID: I20241218004271 |
| Provider Name | Maegan Houghton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104693217 PECOS PAC ID: 5799213310 Enrollment ID: I20250110000925 |
| Provider Name | Blaine K Whitson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619788635 PECOS PAC ID: 4183154651 Enrollment ID: I20250213000233 |
| Provider Name | Victoria Elizabeth Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821674136 PECOS PAC ID: 7214336734 Enrollment ID: I20250407003399 |
| Provider Name | Debbie Jean Perryman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821812496 PECOS PAC ID: 9830618966 Enrollment ID: I20250522000184 |
Innovative Community Resource Specialist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3535 Nw 58th St Ste 870e, Oklahoma City, OK 73112 Phone: 405-205-8346 | |
Ohh Physicians South, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5200 E I 240 Service Rd, Oklahoma City, OK 73135 Phone: 405-628-6000 | |
Nami Oklahoma, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1920 N Drexel Blvd, Oklahoma City, OK 73107 Phone: 405-230-1900 Fax: 405-230-1903 | |
Gabriel M Pitman Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Sw 80th St, Suite 201, Oklahoma City, OK 73109 Phone: 405-632-9090 Fax: 405-632-9097 | |
Quality Counseling & Intervention Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1330 N Classen Blvd, Suite 311, Oklahoma City, OK 73106 Phone: 405-702-0502 Fax: 405-702-0502 | |
Building Up People Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 Nw Expressway, 531, Oklahoma City, OK 73112 Phone: 405-242-5031 | |
Couseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3829 N Classen Blvd, Suite 200, Oklahoma City, OK 73118 Phone: 913-481-5387 |