| Advanced Wound Therapy | |
|
2488 E 81st St Ste 2000 Tulsa OK 74137-4224 | |
| (918) 592-9020 | |
| (918) 779-0219 |
| Full Name | Advanced Wound Therapy |
|---|---|
| Speciality | Family Medicine |
| Location | 2488 E 81st St Ste 2000, Tulsa, Oklahoma |
| Authorized Official Name and Position | Darwin Griffeth (COO) |
| Authorized Official Contact | 9185929020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Wound Therapy 2488 E 81st St Ste 2000 Tulsa OK 74137-4224 Ph: (918) 592-9020 | Advanced Wound Therapy 2488 E 81st St Ste 2000 Tulsa OK 74137-4224 Ph: (918) 592-9020 |
| NPI Number | 1922719095 |
|---|---|
| Provider Enumeration Date | 12/09/2022 |
| Last Update Date | 07/28/2025 |
| Medicare PECOS PAC ID | 5890168447 |
|---|---|
| Medicare Enrollment ID | O20230301000418 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922719095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Cathryn S Crittenden-byers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912955493 PECOS PAC ID: 9335150606 Enrollment ID: I20060530000060 |
| Provider Name | Teri L Ratz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316345325 PECOS PAC ID: 9032437918 Enrollment ID: I20150811005015 |
| Provider Name | Brice K Harader-pate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894519 PECOS PAC ID: 9032425111 Enrollment ID: I20151012000757 |
| Provider Name | Maryanne K Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912378050 PECOS PAC ID: 8921318684 Enrollment ID: I20151109001343 |
| Provider Name | Amber Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528437407 PECOS PAC ID: 8729249446 Enrollment ID: I20151223001270 |
| Provider Name | Jacqueline C Giudice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780057646 PECOS PAC ID: 0345544292 Enrollment ID: I20160212001442 |
| Provider Name | Thomas Kent Denmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881629079 PECOS PAC ID: 4082746078 Enrollment ID: I20160309001944 |
| Provider Name | Ashley R Yuras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962894253 PECOS PAC ID: 0648579896 Enrollment ID: I20160422000756 |
| Provider Name | Emily J Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124564075 PECOS PAC ID: 6608158357 Enrollment ID: I20170113000262 |
| Provider Name | Matthew Carmichael |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205147998 PECOS PAC ID: 0244495901 Enrollment ID: I20170420002548 |
| Provider Name | Betsy Graham Moeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568992071 PECOS PAC ID: 6800160409 Enrollment ID: I20170920003016 |
| Provider Name | Danielle Torres Briseno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891268629 PECOS PAC ID: 8123360435 Enrollment ID: I20190506002171 |
| Provider Name | Rachel Michelle Place |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376182816 PECOS PAC ID: 3870922065 Enrollment ID: I20200409002182 |
| Provider Name | Elizabeth Stanfield Carradini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023623923 PECOS PAC ID: 5890102107 Enrollment ID: I20210405000989 |
| Provider Name | Christin Tomlinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417553074 PECOS PAC ID: 5193134161 Enrollment ID: I20210503002309 |
| Provider Name | Vicky B Cha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548931546 PECOS PAC ID: 0648660761 Enrollment ID: I20211204000110 |
| Provider Name | Megan Nicole Cansler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952052185 PECOS PAC ID: 3971035239 Enrollment ID: I20241011002667 |
| Provider Name | Sarah E Flora |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649684531 PECOS PAC ID: 5799210100 Enrollment ID: I20241121004459 |
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