| Icare Center LLC | |
|
21001 Se 29th St Unit 1 Harrah OK 73045-6577 | |
| (405) 391-5526 | |
| (405) 391-5529 |
| Full Name | Icare Center LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 21001 Se 29th St Unit 1, Harrah, Oklahoma |
| Authorized Official Name and Position | Senthil K Raju (PROVIDER) |
| Authorized Official Contact | 4053915526 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Icare Center LLC 21001 Se 29th St Harrah OK 73045-6591 | Icare Center LLC 21001 Se 29th St Unit 1 Harrah OK 73045-6577 Ph: (405) 391-5526 |
| NPI Number | 1881190833 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/17/2022 |
| Certification Date | 03/17/2022 |
| Medicare PECOS PAC ID | 0840555777 |
|---|---|
| Medicare Enrollment ID | O20180524001890 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881190833 | NPI | - | NPPES |
| Provider Name | Richard P Holsopple |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558359505 PECOS PAC ID: 6507760766 Enrollment ID: I20031120000590 |
| Provider Name | Stephanie a Whatley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003878612 PECOS PAC ID: 9234028994 Enrollment ID: I20040311001256 |
| Provider Name | Ricky G Swaim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972617231 PECOS PAC ID: 7517964596 Enrollment ID: I20080811000764 |
| Provider Name | Senthil K Raju |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922009075 PECOS PAC ID: 3779560719 Enrollment ID: I20090122000126 |
| Provider Name | Jeffrey Carter Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780823104 PECOS PAC ID: 9436206448 Enrollment ID: I20090408000670 |
| Provider Name | Teney V John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429131 PECOS PAC ID: 6608010574 Enrollment ID: I20130913000683 |
| Provider Name | Chellie Clingan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912333196 PECOS PAC ID: 7810124773 Enrollment ID: I20131220001359 |
| Provider Name | Rebecca K Poe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851732036 PECOS PAC ID: 3577790252 Enrollment ID: I20131231000078 |
| Provider Name | Lavetrice Joyce Steele |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1235550658 PECOS PAC ID: 5597988204 Enrollment ID: I20140528000775 |
| Provider Name | Gary R Burman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700851557 PECOS PAC ID: 4183682925 Enrollment ID: I20141104001947 |
| Provider Name | Justin L Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740695774 PECOS PAC ID: 7618299553 Enrollment ID: I20141204001219 |
| Provider Name | Pamela L Migliaccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689059610 PECOS PAC ID: 7719289719 Enrollment ID: I20160107002674 |
| Provider Name | Tina Joy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467812156 PECOS PAC ID: 4789981234 Enrollment ID: I20160328001665 |
| Provider Name | Robin Rae Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083071906 PECOS PAC ID: 5092012369 Enrollment ID: I20160331001434 |
| Provider Name | Jessica E Jackson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023553187 PECOS PAC ID: 3577846104 Enrollment ID: I20170206002025 |
| Provider Name | Audrianna D Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
| Provider Name | Kasi C Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386169555 PECOS PAC ID: 3779859921 Enrollment ID: I20171016003403 |
| Provider Name | Sergio Armando Porras |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427447176 PECOS PAC ID: 8628336898 Enrollment ID: I20171215001053 |
| Provider Name | Maggie Joy Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215483920 PECOS PAC ID: 6305134602 Enrollment ID: I20180803002481 |
| Provider Name | Melissa a Walker |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053800268 PECOS PAC ID: 4183973977 Enrollment ID: I20180828003004 |
| Provider Name | Samina Zafar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659853851 PECOS PAC ID: 3274887401 Enrollment ID: I20181107000267 |
| Provider Name | Dustin James Wade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013323336 PECOS PAC ID: 2668718891 Enrollment ID: I20190109002012 |
| Provider Name | Kendra Kay Gore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366001398 PECOS PAC ID: 2769713239 Enrollment ID: I20191015000391 |
| Provider Name | Erin M Olmsted |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053968818 PECOS PAC ID: 2769814318 Enrollment ID: I20191120000225 |
| Provider Name | Derek Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255981601 PECOS PAC ID: 1456785088 Enrollment ID: I20200107001317 |
| Provider Name | Pamela Marie Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477199388 PECOS PAC ID: 8729417241 Enrollment ID: I20200406000017 |
| Provider Name | Angela Michele Heath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588295810 PECOS PAC ID: 6002245347 Enrollment ID: I20200407002546 |
| Provider Name | Kristi Cooksey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265071922 PECOS PAC ID: 7315377637 Enrollment ID: I20200428000867 |
| Provider Name | John Scott Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548733249 PECOS PAC ID: 1254766421 Enrollment ID: I20200619000814 |
| Provider Name | Lee Sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811506389 PECOS PAC ID: 9436577509 Enrollment ID: I20200922002472 |
| Provider Name | Stephanie Michelle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124648746 PECOS PAC ID: 6103245386 Enrollment ID: I20201008000430 |
| Provider Name | Thatcha Naidu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124635032 PECOS PAC ID: 0547672669 Enrollment ID: I20201215001086 |
| Provider Name | Robin Lynn Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457983579 PECOS PAC ID: 0547697591 Enrollment ID: I20210119002537 |
| Provider Name | Ronny Keith Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427673649 PECOS PAC ID: 7214343789 Enrollment ID: I20210308001746 |
| Provider Name | Merideth Lea Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356959613 PECOS PAC ID: 0244646537 Enrollment ID: I20210311001142 |
| Provider Name | Shannon Dunn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972272490 PECOS PAC ID: 2668731720 Enrollment ID: I20211108000600 |
| Provider Name | Tiffany Lipscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417622747 PECOS PAC ID: 9436548989 Enrollment ID: I20211123000279 |
| Provider Name | Carolyn a Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659954436 PECOS PAC ID: 8123412111 Enrollment ID: I20220309000634 |
| Provider Name | Sunnia Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609480813 PECOS PAC ID: 0244625952 Enrollment ID: I20220316001132 |
| Provider Name | Nicole Lynn Hughey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699445866 PECOS PAC ID: 1052706629 Enrollment ID: I20220317000515 |
| Provider Name | Ryan Hightower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225799935 PECOS PAC ID: 1052706645 Enrollment ID: I20220317001408 |
| Provider Name | Cinda Dawn Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346909397 PECOS PAC ID: 1052707155 Enrollment ID: I20220329001290 |
| Provider Name | Teeia Strout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097479 PECOS PAC ID: 3375947609 Enrollment ID: I20220426002453 |
| Provider Name | Julie Patricia Fordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376288712 PECOS PAC ID: 4385024199 Enrollment ID: I20220711000110 |
| Provider Name | Mary Peeks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518520998 PECOS PAC ID: 3678960200 Enrollment ID: I20220811000902 |
| Provider Name | Lindsay Jean Barron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891429882 PECOS PAC ID: 3072998707 Enrollment ID: I20220916001767 |
| Provider Name | Jeanneth a Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023742541 PECOS PAC ID: 2062898489 Enrollment ID: I20221007000739 |
| Provider Name | Alfred Dail James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548995293 PECOS PAC ID: 2466838800 Enrollment ID: I20221007001596 |
| Provider Name | Brittany Rainey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295461820 PECOS PAC ID: 7214305630 Enrollment ID: I20221116001094 |
| Provider Name | Janet Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598384554 PECOS PAC ID: 4385014182 Enrollment ID: I20230111001884 |
| Provider Name | Candice Hamre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134833569 PECOS PAC ID: 2961877071 Enrollment ID: I20230403001818 |
| Provider Name | Drew W Woodrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730893884 PECOS PAC ID: 8426423823 Enrollment ID: I20230418000760 |
| Provider Name | Katherine Denise Lynn Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295434512 PECOS PAC ID: 9436514809 Enrollment ID: I20230509000372 |
| Provider Name | Urvashi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366140592 PECOS PAC ID: 6507220290 Enrollment ID: I20230913004218 |
| Provider Name | Michelle Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912546144 PECOS PAC ID: 8123475266 Enrollment ID: I20231109003862 |
| Provider Name | Breanna Marie Wesselhoft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346020468 PECOS PAC ID: 5597115287 Enrollment ID: I20231220004112 |
| Provider Name | Chad Eric Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477276954 PECOS PAC ID: 7113370735 Enrollment ID: I20240131001412 |
| Provider Name | Scott T Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235899139 PECOS PAC ID: 7911346432 Enrollment ID: I20240417001447 |
| Provider Name | Rebyl Kay James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841842812 PECOS PAC ID: 2466823125 Enrollment ID: I20240520003927 |
| Provider Name | Terri Nicole Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851883599 PECOS PAC ID: 1951842947 Enrollment ID: I20240918000301 |
| Provider Name | Kayla Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710609532 PECOS PAC ID: 0547701872 Enrollment ID: I20240926000503 |
| Provider Name | Jessica Marie Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376375345 PECOS PAC ID: 2365974680 Enrollment ID: I20241011000962 |
| Provider Name | Charlotte Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316640832 PECOS PAC ID: 2567837487 Enrollment ID: I20241122001371 |
| Provider Name | Jacob Duane Boyd |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003656448 PECOS PAC ID: 4688100647 Enrollment ID: I20241213001668 |
| Provider Name | Victoria Hague |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437887742 PECOS PAC ID: 6002345949 Enrollment ID: I20250122003047 |
| Provider Name | Kaitlin Behanna |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851123277 PECOS PAC ID: 4688103302 Enrollment ID: I20250124002964 |
| Provider Name | Rachel Plunkett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750111654 PECOS PAC ID: 5395274658 Enrollment ID: I20250130004186 |
| Provider Name | Hunter Rayn Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386459345 PECOS PAC ID: 1658891775 Enrollment ID: I20250219003590 |
| Provider Name | Stephanie Luecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639016603 PECOS PAC ID: 4789156357 Enrollment ID: I20260615002357 |
Sage Primary Health PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20213 Ne 23rd St Ste B1, Harrah, OK 73045 Phone: 405-590-2032 |
Mpg-family Care Center of Harrah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 Fax: 405-454-6372 |
SSM Health Harrah Ambulatory Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18961 Ne 23rd Street, Harrah, OK 73045 Phone: 405-772-4650 Fax: 405-772-4653 |
Michael S Reed Jr DO LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Community Pl, Harrah, OK 73045 Phone: 405-778-9598 |
The Family Care Center of Harrah, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 Fax: 405-454-6372 |
Lake Pointe Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20912 Se 29th St, Harrah, OK 73045 Phone: 405-391-2970 Fax: 405-391-2972 |