| Carnegie Indian Health Center | |
|
212 E. 4th Street Carnegie OK 73015 | |
| (580) 654-1100 | |
| Not Available |
| Full Name | Carnegie Indian Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 E. 4th Street, Carnegie, Oklahoma |
| Authorized Official Name and Position | Lenora Littledeer (CEO) |
| Authorized Official Contact | 5803545407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carnegie Indian Health Center 1515 Ne Lawrie Tatum Rd Lawton OK 73507 Ph: (580) 354-5150 | Carnegie Indian Health Center 212 E. 4th Street Carnegie OK 73015 Ph: (580) 654-1100 |
| NPI Number | 1457459158 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/09/2019 |
| Medicare PECOS PAC ID | 1456456144 |
|---|---|
| Medicare Enrollment ID | O20071217000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457459158 | NPI | - | NPPES |
| 100231960D | Medicaid | OK | |
| 200119920A | Medicaid | OK | |
| 100700620Q | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Larry L Maples |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033166616 PECOS PAC ID: 8123019551 Enrollment ID: I20040524000276 |
| Provider Name | Richard S Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336223593 PECOS PAC ID: 4385698968 Enrollment ID: I20050307000432 |
| Provider Name | Jeffrey L Russell |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942309034 PECOS PAC ID: 5294769568 Enrollment ID: I20050926000755 |
| Provider Name | Bowen C Tzeng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952591760 PECOS PAC ID: 5294807079 Enrollment ID: I20080710000757 |
| Provider Name | Stacy Chemda Goode |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225248784 PECOS PAC ID: 1052497591 Enrollment ID: I20080916000415 |
| Provider Name | Natasha Nicole Harrison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770756173 PECOS PAC ID: 2365580461 Enrollment ID: I20091110000622 |
| Provider Name | Hari S Kapur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750370482 PECOS PAC ID: 7517000540 Enrollment ID: I20100129000658 |
| Provider Name | Maritza Roman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780787317 PECOS PAC ID: 6901949668 Enrollment ID: I20100203000162 |
| Provider Name | Hilda J Aviles Vargas |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215112545 PECOS PAC ID: 2062538234 Enrollment ID: I20100924000479 |
| Provider Name | Amy Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962577023 PECOS PAC ID: 2567651789 Enrollment ID: I20110114000419 |
| Provider Name | Aubrey S Wong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073827663 PECOS PAC ID: 9133392228 Enrollment ID: I20111107000142 |
| Provider Name | Laura L Alexander |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356601728 PECOS PAC ID: 5193980605 Enrollment ID: I20120709000416 |
| Provider Name | Carmen M Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558613158 PECOS PAC ID: 8123272572 Enrollment ID: I20130212000179 |
| Provider Name | Anthony E Glydwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104251776 PECOS PAC ID: 6800023300 Enrollment ID: I20131206001703 |
| Provider Name | Heidi L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477952976 PECOS PAC ID: 1658693965 Enrollment ID: I20141122000100 |
| Provider Name | Amy L Glasgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659643575 PECOS PAC ID: 5890959563 Enrollment ID: I20150421001059 |
| Provider Name | Jerrus M Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245619006 PECOS PAC ID: 3678887775 Enrollment ID: I20170220001149 |
| Provider Name | Tyler Jay Robertson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891216388 PECOS PAC ID: 8123390424 Enrollment ID: I20170822001154 |
| Provider Name | Brad Victor Nuttall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699290478 PECOS PAC ID: 7810261690 Enrollment ID: I20170918000843 |
| Provider Name | Natalia Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003173915 PECOS PAC ID: 6709141328 Enrollment ID: I20180601001555 |
| Provider Name | Catherine Anne Shaeffer |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811251499 PECOS PAC ID: 4385872175 Enrollment ID: I20180830000526 |
| Provider Name | Aun Ali Hussain |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184056202 PECOS PAC ID: 5092067439 Enrollment ID: I20181011002458 |
| Provider Name | Angela Battese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023487311 PECOS PAC ID: 8921347626 Enrollment ID: I20190225000805 |
| Provider Name | Janet Ilidan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831599539 PECOS PAC ID: 4587903976 Enrollment ID: I20190301000956 |
| Provider Name | Joel Garrett Massey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396805966 PECOS PAC ID: 7618115130 Enrollment ID: I20190329000883 |
| Provider Name | Michelle Lynn Deason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376786103 PECOS PAC ID: 7719212992 Enrollment ID: I20190710001653 |
| Provider Name | Randy W Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467939249 PECOS PAC ID: 1153659164 Enrollment ID: I20190828001611 |
| Provider Name | Marie L Duan Meservy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699018424 PECOS PAC ID: 0749588374 Enrollment ID: I20190830002587 |
| Provider Name | Eugenio Erquiaga |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1528005048 PECOS PAC ID: 6002947033 Enrollment ID: I20190923000256 |
| Provider Name | Jane Walta |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477881712 PECOS PAC ID: 1951632462 Enrollment ID: I20191015002038 |
| Provider Name | Taylor Rae Erhardt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831713957 PECOS PAC ID: 6305263518 Enrollment ID: I20200902003080 |
| Provider Name | Dimple Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306023809 PECOS PAC ID: 5991952178 Enrollment ID: I20210114000460 |
| Provider Name | Matthew Bledsoe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295116721 PECOS PAC ID: 6608188024 Enrollment ID: I20210702000599 |
| Provider Name | Rafel Alvarez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215383005 PECOS PAC ID: 7618247586 Enrollment ID: I20210706000944 |
| Provider Name | Tyler Braaten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134507957 PECOS PAC ID: 3577964352 Enrollment ID: I20210708000016 |
| Provider Name | Philip Pookkattu Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821524364 PECOS PAC ID: 1951678499 Enrollment ID: I20210826002896 |
| Provider Name | Soumya Vempalle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134514896 PECOS PAC ID: 9032500392 Enrollment ID: I20211220002762 |
| Provider Name | Samina Zafar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659853851 PECOS PAC ID: 3274887401 Enrollment ID: I20211222000717 |
| Provider Name | Amaya Basta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1457589699 PECOS PAC ID: 0042434524 Enrollment ID: I20220118001954 |
| Provider Name | Dustin W Cheney |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225492606 PECOS PAC ID: 9133523418 Enrollment ID: I20220324000946 |
| Provider Name | Brittany Ann Claudean Jane Napoleon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740842863 PECOS PAC ID: 4880027689 Enrollment ID: I20220426002741 |
| Provider Name | Frank Hebroni |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437509494 PECOS PAC ID: 0941609754 Enrollment ID: I20220706002718 |
| Provider Name | Nancy Emelife |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992124093 PECOS PAC ID: 6608298245 Enrollment ID: I20220708000678 |
| Provider Name | Gregory Bradley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1881135804 PECOS PAC ID: 6608207824 Enrollment ID: I20221013000072 |
| Provider Name | Oliver Cvitanic |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538267208 PECOS PAC ID: 2567490204 Enrollment ID: I20221205003181 |
| Provider Name | Joseph Eble |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972766806 PECOS PAC ID: 9436205952 Enrollment ID: I20230102000149 |
| Provider Name | Islam Fayed |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316300320 PECOS PAC ID: 3072922806 Enrollment ID: I20230403000723 |
| Provider Name | Michael Edward Sabatino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447425673 PECOS PAC ID: 1951571736 Enrollment ID: I20230526000985 |
| Provider Name | Aman Mittal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699126425 PECOS PAC ID: 9931521093 Enrollment ID: I20230530003341 |
| Provider Name | Azka Arif |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417478371 PECOS PAC ID: 1850758574 Enrollment ID: I20230612000150 |
| Provider Name | Austin Marsh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346773850 PECOS PAC ID: 7911389002 Enrollment ID: I20230624000094 |
| Provider Name | Mehyar Hefazi Torghabeh |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548655343 PECOS PAC ID: 9830586767 Enrollment ID: I20230701000263 |
| Provider Name | Aubrey J Slaughter |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1851596936 PECOS PAC ID: 4486898145 Enrollment ID: I20230913000750 |
| Provider Name | Erin M Horsley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1134405939 PECOS PAC ID: 2668786039 Enrollment ID: I20240103000811 |
| Provider Name | Kimberly S Winsor |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447678016 PECOS PAC ID: 7517221948 Enrollment ID: I20240103001136 |
| Provider Name | Jessica Millsap |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710207451 PECOS PAC ID: 1759527559 Enrollment ID: I20240103003939 |
| Provider Name | Jeremiah Morgan Daniel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316441652 PECOS PAC ID: 1052731155 Enrollment ID: I20240213003182 |
| Provider Name | Nedeljko Uncanin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346744737 PECOS PAC ID: 1052778123 Enrollment ID: I20240305003116 |
Carnegie Tri-county Municipal Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 102 N. Broadway, Carnegie, OK 73015 Phone: 580-654-1050 Fax: 580-654-2111 | |
Memorial Medical Group Carnegie Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 N Broadway, Carnegie, OK 73015 Phone: 580-654-2500 Fax: 580-654-1488 | |
Ronald L. Hill, M. D., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Po Box F, Carnegie, OK 73015 Phone: 580-654-1154 Fax: 580-654-1600 | |
Cohesive Medical Clinic Carnegie Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Ash St, Carnegie, OK 73015 Phone: 580-654-1154 | |
Carnegie Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 W Ash Street, Carnegie, OK 73015 Phone: 580-654-4444 |