| Ajith Oommen, | |
|
1900 S Country Club Rd, El Reno, OK 73036-5427 | |
| (405) 295-2900 | |
| (405) 212-4480 |
| Full Name | Ajith Oommen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 1900 S Country Club Rd, El Reno, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598573933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 222898 (Oklahoma) | Primary |
| Entity Name | Mtn View Family Practice, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861520991 PECOS PAC ID: 6608841432 Enrollment ID: O20040826000589 |
| Mailing Address | Practice Location Address |
|---|---|
| Ajith Oommen, 24900 Se Stark St Ste 205, Gresham, OR 97030-3382 Ph: () - | Ajith Oommen, 1900 S Country Club Rd, El Reno, OK 73036-5427 Ph: (405) 295-2900 |
Stefanie Kleinle, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1900 S Country Club Rd, El Reno, OK 73036 Phone: 405-295-2900 Fax: 405-212-4480 | |
Ann Maureen Burkle Robison, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Country Club Rd, El Reno, OK 73036 Phone: 405-295-2900 Fax: 405-295-2905 | |
Kristi Little, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Country Club Rd, El Reno, OK 73036 Phone: 405-295-2900 | |
Alana Christine Mckinney, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19400 Sw 44th St, El Reno, OK 73036 Phone: 405-414-4383 | |
Darcy White, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Country Club Rd, El Reno, OK 73036 Phone: 405-295-2900 | |
Angela Upton, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1900 S Country Club Rd, El Reno, OK 73036 Phone: 405-295-2900 Fax: 405-295-2905 | |
Sarah Kelleen Menz, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2005 Parkview Dr Ste 2, El Reno, OK 73036 Phone: 405-776-1465 Fax: 405-869-7779 |