| Harvard Family Physicians P C | |
|
7912 E 31st Ct Suite 220 Tulsa OK 74145-1315 | |
| (918) 743-8200 | |
| Not Available |
| Full Name | Harvard Family Physicians P C |
|---|---|
| Speciality | Family Medicine |
| Location | 7912 E 31st Ct, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kenneth Arthur Muckala (CEO/PRESIDENT) |
| Authorized Official Contact | 9187438200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvard Family Physicians P C 7912 E 31st Ct Suite 220 Tulsa OK 74145-1315 Ph: (918) 743-8200 | Harvard Family Physicians P C 7912 E 31st Ct Suite 220 Tulsa OK 74145-1315 Ph: (918) 743-8200 |
| NPI Number | 1306891288 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 06/07/2018 |
| Medicare PECOS PAC ID | 7113983594 |
|---|---|
| Medicare Enrollment ID | O20041207001019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306891288 | NPI | - | NPPES |
| 100740300A | Medicaid | OK |
| Provider Name | Jess T Roy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003889551 PECOS PAC ID: 1850290958 Enrollment ID: I20040107000912 |
| Provider Name | Jon C Calvert |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033181920 PECOS PAC ID: 3072414580 Enrollment ID: I20040117000059 |
| Provider Name | Brian K Berryman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184614919 PECOS PAC ID: 1951298470 Enrollment ID: I20040301000587 |
| Provider Name | Angela D Christy-owens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437113123 PECOS PAC ID: 6204892672 Enrollment ID: I20041207000921 |
| Provider Name | Thomas Steven Ivan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992763411 PECOS PAC ID: 4183681513 Enrollment ID: I20050822000244 |
| Provider Name | Kathleen A Boyls |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134198195 PECOS PAC ID: 6305856618 Enrollment ID: I20061216000081 |
| Provider Name | Patrick Vanschoyck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124088083 PECOS PAC ID: 0941302962 Enrollment ID: I20070222000200 |
| Provider Name | Shelley D Shoun |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467671578 PECOS PAC ID: 9931272846 Enrollment ID: I20080724000584 |
| Provider Name | Lawrence H Lieberman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609859982 PECOS PAC ID: 3072688092 Enrollment ID: I20080826000284 |
| Provider Name | David Spencer Sholl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609830678 PECOS PAC ID: 5991843948 Enrollment ID: I20091111000349 |
| Provider Name | Robert M Mahaffey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013971191 PECOS PAC ID: 7517005564 Enrollment ID: I20091111000369 |
| Provider Name | David W Griffiths |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366406076 PECOS PAC ID: 7911045976 Enrollment ID: I20091111000431 |
| Provider Name | Paul M Krautter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386608453 PECOS PAC ID: 7618015678 Enrollment ID: I20091111000455 |
| Provider Name | Darwin D Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982668794 PECOS PAC ID: 5294873253 Enrollment ID: I20091111000501 |
| Provider Name | Kenneth A Muckala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649233321 PECOS PAC ID: 1951367341 Enrollment ID: I20091111000535 |
| Provider Name | Patrice D Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164561270 PECOS PAC ID: 7517136344 Enrollment ID: I20110811000235 |
| Provider Name | Andrew Christian Hurst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093064982 PECOS PAC ID: 9335397421 Enrollment ID: I20120914000263 |
| Provider Name | John R Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952620767 PECOS PAC ID: 5395991871 Enrollment ID: I20121019000245 |
| Provider Name | Larissa Faye Giuliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033409271 PECOS PAC ID: 3476771924 Enrollment ID: I20140826001416 |
| Provider Name | John Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962634535 PECOS PAC ID: 6901027812 Enrollment ID: I20141017001471 |
| Provider Name | Peter Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760594808 PECOS PAC ID: 8325021421 Enrollment ID: I20210527000407 |
| Provider Name | Nathan Strandmark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457428518 PECOS PAC ID: 2769583905 Enrollment ID: I20210715000099 |
| Provider Name | Daniel Aaron Stegman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396249082 PECOS PAC ID: 4486051786 Enrollment ID: I20210929003231 |
| Provider Name | Jessica E Shiu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659758787 PECOS PAC ID: 9436557659 Enrollment ID: I20220404002097 |
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