| Digestive Disease Specialists Inc | |
|
5015 N Pennsylvania Ave Ste. 303 Oklahoma City OK 73112-8891 | |
| (405) 767-6630 | |
| (405) 767-1176 |
| Full Name | Digestive Disease Specialists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5015 N Pennsylvania Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Bill R. Davis (ADMINISTRATOR) |
| Authorized Official Contact | 4057676630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Disease Specialists Inc Po Box 7316 Edmond OK 73083-7316 Ph: (405) 767-6630 | Digestive Disease Specialists Inc 5015 N Pennsylvania Ave Ste. 303 Oklahoma City OK 73112-8891 Ph: (405) 767-6630 |
| NPI Number | 1366489213 |
|---|---|
| Provider Enumeration Date | 06/01/2006 |
| Last Update Date | 07/11/2007 |
| Medicare PECOS PAC ID | 7315939279 |
|---|---|
| Medicare Enrollment ID | O20040331001151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366489213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Baolong Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710962071 PECOS PAC ID: 5799769873 Enrollment ID: I20040616000428 |
| Provider Name | Misty Dean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700989316 PECOS PAC ID: 5799736146 Enrollment ID: I20050203000145 |
| Provider Name | Sikandar Mesiya |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1407830342 PECOS PAC ID: 8921053398 Enrollment ID: I20050318000006 |
| Provider Name | Syed M Rizvi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528175619 PECOS PAC ID: 2769437276 Enrollment ID: I20050504000904 |
| Provider Name | Verapan Vongthavaravat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528199866 PECOS PAC ID: 0345273553 Enrollment ID: I20060116000141 |
| Provider Name | Matthew Anthony Mcbride |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871536920 PECOS PAC ID: 1052325545 Enrollment ID: I20060206000037 |
| Provider Name | Son H Nguyen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457491086 PECOS PAC ID: 0244321826 Enrollment ID: I20070810000675 |
| Provider Name | Paul N Maton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538143466 PECOS PAC ID: 2365494069 Enrollment ID: I20071025000539 |
| Provider Name | Kenneth Andrew Seres |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871633404 PECOS PAC ID: 0840365292 Enrollment ID: I20080819000628 |
| Provider Name | Douglas Crutchfield |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003995176 PECOS PAC ID: 1254461775 Enrollment ID: I20100610000219 |
| Provider Name | Nicole Alvarez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1730404989 PECOS PAC ID: 5890827836 Enrollment ID: I20100709000676 |
| Provider Name | Don P Murray |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215912787 PECOS PAC ID: 9638121338 Enrollment ID: I20100809000813 |
| Provider Name | David S Stokesberry |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1427032234 PECOS PAC ID: 9931204385 Enrollment ID: I20100810000293 |
| Provider Name | Carl A Raczkowski |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851375646 PECOS PAC ID: 5193782977 Enrollment ID: I20100810000727 |
| Provider Name | Ross S Keener |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639153554 PECOS PAC ID: 0042315491 Enrollment ID: I20100810000899 |
| Provider Name | Dan W Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104801562 PECOS PAC ID: 2264484963 Enrollment ID: I20100812000836 |
| Provider Name | Chaz A White |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073821641 PECOS PAC ID: 1052592094 Enrollment ID: I20110223000628 |
| Provider Name | Terry S Abercrombie |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215240379 PECOS PAC ID: 2961687256 Enrollment ID: I20110502000495 |
| Provider Name | Quentin Sukut |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902197379 PECOS PAC ID: 3870766918 Enrollment ID: I20111104000381 |
| Provider Name | James K Randall |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649484361 PECOS PAC ID: 5496785263 Enrollment ID: I20120105000384 |
| Provider Name | Tara A Mccants |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013221084 PECOS PAC ID: 1658548938 Enrollment ID: I20120127000481 |
| Provider Name | David A. Neumann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043339575 PECOS PAC ID: 5294821096 Enrollment ID: I20120703000624 |
| Provider Name | Mikel A Cross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407127202 PECOS PAC ID: 2769647056 Enrollment ID: I20120712000326 |
| Provider Name | Zackary C Morgan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1518221241 PECOS PAC ID: 2062669294 Enrollment ID: I20120823000398 |
| Provider Name | Christopher Scott Anshutz |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1851676803 PECOS PAC ID: 7810140266 Enrollment ID: I20130114000469 |
| Provider Name | Kay L Woods |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1710226584 PECOS PAC ID: 7315184835 Enrollment ID: I20130430000564 |
| Provider Name | Robin E Cook |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619288693 PECOS PAC ID: 7719125558 Enrollment ID: I20130606000050 |
| Provider Name | Vicki J Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851692958 PECOS PAC ID: 7214162239 Enrollment ID: I20131029001561 |
| Provider Name | Aaron P Sexton |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588718738 PECOS PAC ID: 2163591306 Enrollment ID: I20131125000583 |
| Provider Name | Traci R Wilmarth |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1003245481 PECOS PAC ID: 6103053574 Enrollment ID: I20131210000339 |
| Provider Name | Shokooh Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1497169569 PECOS PAC ID: 2062634397 Enrollment ID: I20141120001937 |
| Provider Name | Jennifer Schmitt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1225431141 PECOS PAC ID: 8224351838 Enrollment ID: I20150106000424 |
| Provider Name | Erica L Buel |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1669880761 PECOS PAC ID: 0749506012 Enrollment ID: I20150304000021 |
| Provider Name | Sumit A Walia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295963247 PECOS PAC ID: 2567782642 Enrollment ID: I20150514000422 |
| Provider Name | Salman Nusrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1578799508 PECOS PAC ID: 8921310731 Enrollment ID: I20150708001557 |
| Provider Name | Jordan W Abbott |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750777348 PECOS PAC ID: 5991010647 Enrollment ID: I20150811003520 |
| Provider Name | Lauren Marina Kliewer |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1609246982 PECOS PAC ID: 0244530467 Enrollment ID: I20151119002069 |
| Provider Name | Scottie L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386048866 PECOS PAC ID: 6800192725 Enrollment ID: I20160302001929 |
| Provider Name | Thomas R Leblanc |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053440172 PECOS PAC ID: 3476589805 Enrollment ID: I20160524000672 |
| Provider Name | Neil E Crittenden |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598907115 PECOS PAC ID: 2668628454 Enrollment ID: I20160727000831 |
| Provider Name | Paige K Puryear |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063967578 PECOS PAC ID: 8921386111 Enrollment ID: I20161021001706 |
| Provider Name | Ashley Marie Gallup |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1407205347 PECOS PAC ID: 0749569960 Enrollment ID: I20161110002216 |
| Provider Name | Libu Kurian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043661242 PECOS PAC ID: 9133409758 Enrollment ID: I20161216001007 |
| Provider Name | Maria Chang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730281932 PECOS PAC ID: 4587699475 Enrollment ID: I20170427002049 |
| Provider Name | Giovanni Andrea Lovera |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134638018 PECOS PAC ID: 6800162173 Enrollment ID: I20171101001597 |
| Provider Name | Pramoda Koduru |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1992090542 PECOS PAC ID: 6800142993 Enrollment ID: I20180703000545 |
| Provider Name | Bradley R Smith |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1902382765 PECOS PAC ID: 0143573337 Enrollment ID: I20181106001095 |
| Provider Name | Shad A Bowers |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942777065 PECOS PAC ID: 4587900246 Enrollment ID: I20200221000571 |
| Provider Name | Ashley Raye Bouknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205440351 PECOS PAC ID: 0143633586 Enrollment ID: I20210104001794 |
| Provider Name | Arifa Mamoona Khan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144571662 PECOS PAC ID: 8224335724 Enrollment ID: I20210121001610 |
| Provider Name | Trisha Louise Taron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710355060 PECOS PAC ID: 5597179416 Enrollment ID: I20210203002746 |
| Provider Name | Zachary Daniel Smith |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437537024 PECOS PAC ID: 8022368950 Enrollment ID: I20210709000111 |
| Provider Name | Levi Daniel Mcclure |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982287686 PECOS PAC ID: 5193128247 Enrollment ID: I20210727001212 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |