| Mr Joseph Charles Rawdon, APRN-CNS | |
|
2810 N Kickapoo Ave, Shawnee, OK 74804-1798 | |
| (405) 585-0473 | |
| (405) 585-0495 |
| Full Name | Mr Joseph Charles Rawdon |
|---|---|
| Gender | Male |
| Speciality | Certified Clinical Nurse Specialist (cns) |
| Experience | 18 Years |
| Location | 2810 N Kickapoo Ave, 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 |
|---|---|---|---|
| 1295973725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SC0200X | Clinical Nurse Specialist - Critical Care Medicine | R0077067 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
| Entity Name | The Physicians Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487620381 PECOS PAC ID: 8325950603 Enrollment ID: O20031104000641 |
| 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 |
| Entity Name | Heritage Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275286080 PECOS PAC ID: 7214314111 Enrollment ID: O20220516000527 |
| Entity Name | R & Q Enterprises Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598537656 PECOS PAC ID: 0143678540 Enrollment ID: O20231125000220 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Joseph Charles Rawdon, APRN-CNS 5 Del Rancho Ct, Shawnee, OK 74804-3320 Ph: (056) 136-2314 | Mr Joseph Charles Rawdon, APRN-CNS 2810 N Kickapoo Ave, Shawnee, OK 74804-1798 Ph: (405) 585-0473 |
Mary E. Pauzauskie, ARNP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 3208 Medical Park Dr, Shawnee, OK 74804 Phone: 405-878-7160 Fax: 405-878-7149 |