| Hillcrest Urgent Care, Llc | |
|
1623 S Utica Ave Tulsa OK 74104-4909 | |
| (918) 392-5100 | |
| Not Available |
| Full Name | Hillcrest Urgent Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1623 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Stephen C. Petrovich (EVP, GENERAL COUNSEL) |
| Authorized Official Contact | 6152963594 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Urgent Care, Llc 340 Seven Springs Way Ste 100 Brentwood TN 37027-5697 Ph: () - | Hillcrest Urgent Care, Llc 1623 S Utica Ave Tulsa OK 74104-4909 Ph: (918) 392-5100 |
| NPI Number | 1417769829 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 03/10/2025 |
| Medicare PECOS PAC ID | 6608393715 |
|---|---|
| Medicare Enrollment ID | O20250512001402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417769829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Nick L Carroll |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104055730 PECOS PAC ID: 5092861534 Enrollment ID: I20090924000140 |
| Provider Name | Melissa Haught |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730422874 PECOS PAC ID: 0345562575 Enrollment ID: I20141125001492 |
| Provider Name | Amy Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053717546 PECOS PAC ID: 3678885738 Enrollment ID: I20150701001869 |
| Provider Name | Renee Short |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588014724 PECOS PAC ID: 6608164140 Enrollment ID: I20161015000277 |
| Provider Name | Sandra Renee Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369087 PECOS PAC ID: 8123362993 Enrollment ID: I20181205001040 |
| Provider Name | Haleigh Brooke Wisotsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538818000 PECOS PAC ID: 8729475629 Enrollment ID: I20220422002541 |
| Provider Name | Amanda Lin Simpson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710646773 PECOS PAC ID: 8224412952 Enrollment ID: I20220830002635 |
| Provider Name | Deborah E Tiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629812284 PECOS PAC ID: 5890231955 Enrollment ID: I20240724004480 |
| Provider Name | Kathryn A. Landreneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992227029 PECOS PAC ID: 3870852379 Enrollment ID: I20240904004678 |
| Provider Name | Lyndzi Leanne Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780427971 PECOS PAC ID: 1153852173 Enrollment ID: I20241002000188 |
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