| Carrus Lakeside Hospital Llc | |
|
700 W 7th Ave Ste 6 Bristow OK 74010-2302 | |
| (918) 807-5033 | |
| (918) 367-4481 |
| Full Name | Carrus Lakeside Hospital Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 700 W 7th Ave Ste 6, Bristow, Oklahoma |
| Authorized Official Name and Position | Anbu Nachimuthu (CHAIRMAN & CEO) |
| Authorized Official Contact | 9038702745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrus Lakeside Hospital Llc 1810 W Us Highway 82 Sherman TX 75092-7069 Ph: (903) 870-2745 | Carrus Lakeside Hospital Llc 700 W 7th Ave Ste 6 Bristow OK 74010-2302 Ph: (918) 807-5033 |
| NPI Number | 1538921184 |
|---|---|
| Provider Enumeration Date | 01/29/2024 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 1850789785 |
|---|---|
| Medicare Enrollment ID | O20240208002977 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538921184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
| Provider Name | Ardry L Yarbrough |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386669745 PECOS PAC ID: 5395646897 Enrollment ID: I20040116001081 |
| Provider Name | Michael Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962432369 PECOS PAC ID: 3870621402 Enrollment ID: I20100503000262 |
| Provider Name | Shane C. Strasburg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861776395 PECOS PAC ID: 9739352113 Enrollment ID: I20111031000355 |
| Provider Name | Monica J Winford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679810295 PECOS PAC ID: 3971731886 Enrollment ID: I20140122000258 |
| Provider Name | Tabatha N Steward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801286737 PECOS PAC ID: 0143545152 Enrollment ID: I20150216001217 |
| Provider Name | Jacob Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992259980 PECOS PAC ID: 8527347640 Enrollment ID: I20161114001045 |
| Provider Name | Ernest Proo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275079899 PECOS PAC ID: 5597034702 Enrollment ID: I20170703000595 |
| Provider Name | Velma Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578004909 PECOS PAC ID: 7315217478 Enrollment ID: I20170721001960 |
| Provider Name | Jamie Lynn Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982137055 PECOS PAC ID: 7113291741 Enrollment ID: I20170921000105 |
| Provider Name | Ashley R Lindsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427566389 PECOS PAC ID: 2769746890 Enrollment ID: I20180426000273 |
| Provider Name | Shelly Diane Prince |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972144475 PECOS PAC ID: 5294168969 Enrollment ID: I20191211000209 |
| Provider Name | Deanna Harmon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558730952 PECOS PAC ID: 6608289962 Enrollment ID: I20210105001014 |
| Provider Name | Katie Louise Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700452489 PECOS PAC ID: 6507268497 Enrollment ID: I20210715000014 |
| Provider Name | Maegan Michelle Blakeman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912156365 PECOS PAC ID: 0547652760 Enrollment ID: I20220121000052 |
Ahs Oklahoma Physician Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W 7th Ave, Bristow, OK 74010 Phone: 918-367-8818 Fax: 918-367-8820 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Main St, Bristow, OK 74010 Phone: 918-561-8306 Fax: 918-561-5747 | |
Carrus Lakeside Hospital Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W 7th Ave Ste 102, Bristow, OK 74010 Phone: 918-367-2215 Fax: 918-367-4481 | |
Snyder Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Main St, Bristow, OK 74010 Phone: 918-367-3272 | |
Bristow Medical Center Operating Company Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 W 7th Ave, Suite 6, Bristow, OK 74010 Phone: 918-367-2215 | |
Bristow Endeavor Healthcare, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 N Main St, Bristow, OK 74010 Phone: 918-367-6611 Fax: 918-367-9915 |