| Careconnectmd Oklahoma Pc | |
|
101 Park Ave Ste 1300 Oklahoma City OK 73102-7216 | |
| (888) 789-9585 | |
| Not Available |
| Full Name | Careconnectmd Oklahoma Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 Park Ave Ste 1300, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Hyong Kim (OWNER) |
| Authorized Official Contact | 8887899585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careconnectmd Oklahoma Pc 3090 Bristol St Ste 200 Costa Mesa CA 92626-3061 Ph: (888) 789-9585 | Careconnectmd Oklahoma Pc 101 Park Ave Ste 1300 Oklahoma City OK 73102-7216 Ph: (888) 789-9585 |
| NPI Number | 1578244018 |
|---|---|
| Provider Enumeration Date | 07/27/2023 |
| Last Update Date | 09/24/2024 |
| Medicare PECOS PAC ID | 0840728473 |
|---|---|
| Medicare Enrollment ID | O20250110001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578244018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Lucio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394832 PECOS PAC ID: 9335033398 Enrollment ID: I20040210001193 |
| Provider Name | Dan Neal Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341012 PECOS PAC ID: 1850381443 Enrollment ID: I20040515000042 |
| Provider Name | Alexander Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164450573 PECOS PAC ID: 4587624473 Enrollment ID: I20041014000961 |
| Provider Name | James Dixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729895 PECOS PAC ID: 4183534589 Enrollment ID: I20041105000391 |
| Provider Name | Drew K Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180080 PECOS PAC ID: 5698718062 Enrollment ID: I20050804001105 |
| Provider Name | Curtis E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972570067 PECOS PAC ID: 9234153099 Enrollment ID: I20060119000296 |
| Provider Name | Adam V Stephens |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528018942 PECOS PAC ID: 3870505076 Enrollment ID: I20060710000267 |
| Provider Name | Orson P Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174542351 PECOS PAC ID: 4880697333 Enrollment ID: I20060823000106 |
| Provider Name | Henry D Vaughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629040456 PECOS PAC ID: 2264411420 Enrollment ID: I20061013000513 |
| Provider Name | Angela M Mcguire |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053492256 PECOS PAC ID: 9436254307 Enrollment ID: I20070420000548 |
| Provider Name | Terry C Hermance |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518980580 PECOS PAC ID: 1951315498 Enrollment ID: I20070830000571 |
| Provider Name | Ronald Marion Cable |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467430900 PECOS PAC ID: 7618975947 Enrollment ID: I20081022000489 |
| Provider Name | Jeanie M Loper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750424404 PECOS PAC ID: 0547329096 Enrollment ID: I20081112000676 |
| Provider Name | Michael G Weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184875783 PECOS PAC ID: 6800941600 Enrollment ID: I20090831000431 |
| Provider Name | Evaughna J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326373150 PECOS PAC ID: 8325187073 Enrollment ID: I20091209000460 |
| Provider Name | James B Krablin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679509657 PECOS PAC ID: 3779573894 Enrollment ID: I20091229000112 |
| Provider Name | Michael D Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639332042 PECOS PAC ID: 4789858960 Enrollment ID: I20111128000628 |
| Provider Name | Corey D Finch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407903644 PECOS PAC ID: 3870774250 Enrollment ID: I20120202000898 |
| Provider Name | Tamara Altstatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952679086 PECOS PAC ID: 1658532122 Enrollment ID: I20120410000097 |
| Provider Name | Ashley Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366761173 PECOS PAC ID: 7214171487 Enrollment ID: I20130910000742 |
| Provider Name | Tabathya Starr Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218548 PECOS PAC ID: 4880819077 Enrollment ID: I20140701002316 |
| Provider Name | Bart Anthony Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063815546 PECOS PAC ID: 2062634769 Enrollment ID: I20141113001027 |
| Provider Name | Jessica Deppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659774131 PECOS PAC ID: 3779624317 Enrollment ID: I20151102002151 |
| Provider Name | Ashley A Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992174973 PECOS PAC ID: 7618273772 Enrollment ID: I20160316000201 |
| Provider Name | Brooke B Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013361617 PECOS PAC ID: 5294021036 Enrollment ID: I20160906000325 |
| Provider Name | Magesh Sathaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996157 PECOS PAC ID: 6800105412 Enrollment ID: I20161114001897 |
| Provider Name | Justin Eric Henson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801272133 PECOS PAC ID: 8820377617 Enrollment ID: I20161118000887 |
| Provider Name | Julia Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215451455 PECOS PAC ID: 1254570914 Enrollment ID: I20170829003890 |
| Provider Name | Lyndsey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811444078 PECOS PAC ID: 1759655426 Enrollment ID: I20170919001507 |
| Provider Name | Brooke E Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912487489 PECOS PAC ID: 2466704093 Enrollment ID: I20181010001199 |
| Provider Name | Jacqueline Ann Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124536388 PECOS PAC ID: 0941118152 Enrollment ID: I20181030001666 |
| Provider Name | Kristin Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169631 PECOS PAC ID: 6204174741 Enrollment ID: I20190208000603 |
| Provider Name | Karen Louise Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821561770 PECOS PAC ID: 2668715640 Enrollment ID: I20190514002255 |
| Provider Name | Steven Bednarczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245593581 PECOS PAC ID: 8426074170 Enrollment ID: I20200421002407 |
| Provider Name | Madison Nicole Hibbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522871 PECOS PAC ID: 6709276124 Enrollment ID: I20211129001763 |
| Provider Name | Hyong Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396792677 PECOS PAC ID: 7719998251 Enrollment ID: I20250110001239 |
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