| Crescent Infectious Diseases PLLC | |
|
1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 | |
| (888) 219-9988 | |
| (405) 594-5847 |
| Full Name | Crescent Infectious Diseases PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 N Lee Ave Ste 249, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Heather Harris (OPERATIONS MANAGER) |
| Authorized Official Contact | 8882199988 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Infectious Diseases PLLC 1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 Ph: (888) 219-9988 | Crescent Infectious Diseases PLLC 1111 N Lee Ave Ste 249 Oklahoma City OK 73103-2600 Ph: (888) 219-9988 |
| NPI Number | 1538501028 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 09/22/2025 |
| Certification Date | 09/22/2025 |
| Medicare PECOS PAC ID | 8820222847 |
|---|---|
| Medicare Enrollment ID | O20131007000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538501028 | NPI | - | NPPES |
| 29704 | Other | OK | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 29704 (Oklahoma) | Primary |
| Provider Name | Matthew Mcgill |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1447543764 PECOS PAC ID: 5294909263 Enrollment ID: I20111201000348 |
| Provider Name | Girish J Murthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013146398 PECOS PAC ID: 3476701731 Enrollment ID: I20120912000471 |
| Provider Name | Taylor Lane Winzeler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821338435 PECOS PAC ID: 2365680899 Enrollment ID: I20130523000011 |
| Provider Name | Saud Iqbal Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558507962 PECOS PAC ID: 5991851131 Enrollment ID: I20131120000644 |
| Provider Name | Ahmad Ashfaq |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1871729517 PECOS PAC ID: 5193995736 Enrollment ID: I20140509001041 |
| Provider Name | Vijay Kolli |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1013017292 PECOS PAC ID: 5092818922 Enrollment ID: I20150915000627 |
| Provider Name | Jordan Elisabeth Shuart |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821505199 PECOS PAC ID: 1052672813 Enrollment ID: I20180219002579 |
| Provider Name | Yasir Ahmed |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1023292976 PECOS PAC ID: 8628226537 Enrollment ID: I20180621000349 |
| Provider Name | Stephen R Frazee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861978686 PECOS PAC ID: 6901155639 Enrollment ID: I20180814001395 |
| Provider Name | Hannah Peacock |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1770106619 PECOS PAC ID: 4082036462 Enrollment ID: I20200615000088 |
| Provider Name | Dylan Shockley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588295836 PECOS PAC ID: 9335561604 Enrollment ID: I20200616000948 |
| Provider Name | Lauren D'ann Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821627167 PECOS PAC ID: 2668895178 Enrollment ID: I20200630003044 |
| Provider Name | Sowminya Arikapudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629424874 PECOS PAC ID: 0446659619 Enrollment ID: I20210521000012 |
| Provider Name | Robin Ann Whittenburg |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1598434714 PECOS PAC ID: 0244638062 Enrollment ID: I20211008002000 |
| Provider Name | Jacalyn Honeywell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699327270 PECOS PAC ID: 8426438805 Enrollment ID: I20220630003148 |
| Provider Name | Alexandra M Bass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215778501 PECOS PAC ID: 0749711497 Enrollment ID: I20241004001700 |
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