| Long Term Care Specialists, Inc | |
|
5721 Nw 132nd St Oklahoma City OK 73142-4437 | |
| (405) 557-1200 | |
| (405) 557-1977 |
| Full Name | Long Term Care Specialists, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 5721 Nw 132nd St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jillian Herndon (BILLING DIRECTOR) |
| Authorized Official Contact | 4055571200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Long Term Care Specialists, Inc 5721 Nw 132nd St Oklahoma City OK 73142-4437 Ph: (405) 557-1200 | Long Term Care Specialists, Inc 5721 Nw 132nd St Oklahoma City OK 73142-4437 Ph: (405) 557-1200 |
| NPI Number | 1497761159 |
|---|---|
| Provider Enumeration Date | 08/01/2006 |
| Last Update Date | 01/29/2024 |
| Medicare PECOS PAC ID | 3476550740 |
|---|---|
| Medicare Enrollment ID | O20061030000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497761159 | NPI | - | NPPES |
| 100736840A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Linda Lucio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831394832 PECOS PAC ID: 9335033398 Enrollment ID: I20040210001193 |
| Provider Name | Dan Neal Waters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750341012 PECOS PAC ID: 1850381443 Enrollment ID: I20040515000042 |
| Provider Name | Alexander Frank |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164450573 PECOS PAC ID: 4587624473 Enrollment ID: I20041014000961 |
| Provider Name | James Dixson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790729895 PECOS PAC ID: 4183534589 Enrollment ID: I20041105000391 |
| Provider Name | Drew K Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437180080 PECOS PAC ID: 5698718062 Enrollment ID: I20050804001105 |
| Provider Name | Curtis E Mcelroy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972570067 PECOS PAC ID: 9234153099 Enrollment ID: I20060119000296 |
| Provider Name | Adam V Stephens |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1528018942 PECOS PAC ID: 3870505076 Enrollment ID: I20060710000267 |
| Provider Name | Orson P Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174542351 PECOS PAC ID: 4880697333 Enrollment ID: I20060823000106 |
| Provider Name | Henry D Vaughan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629040456 PECOS PAC ID: 2264411420 Enrollment ID: I20061013000513 |
| Provider Name | Angela M Mcguire |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1053492256 PECOS PAC ID: 9436254307 Enrollment ID: I20070420000548 |
| Provider Name | Kim M Patton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649386939 PECOS PAC ID: 8022117738 Enrollment ID: I20070621000076 |
| Provider Name | Terry C Hermance |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518980580 PECOS PAC ID: 1951315498 Enrollment ID: I20070830000571 |
| Provider Name | Ronald Marion Cable |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467430900 PECOS PAC ID: 7618975947 Enrollment ID: I20081022000489 |
| Provider Name | Jeanie M Loper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750424404 PECOS PAC ID: 0547329096 Enrollment ID: I20081112000676 |
| Provider Name | Michael G Weeks |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184875783 PECOS PAC ID: 6800941600 Enrollment ID: I20090831000431 |
| Provider Name | Evaughna J Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326373150 PECOS PAC ID: 8325187073 Enrollment ID: I20091209000460 |
| Provider Name | James B Krablin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1679509657 PECOS PAC ID: 3779573894 Enrollment ID: I20091229000112 |
| Provider Name | Jennifer V Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063672277 PECOS PAC ID: 2860663390 Enrollment ID: I20110914000160 |
| Provider Name | Michael D Gorman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639332042 PECOS PAC ID: 4789858960 Enrollment ID: I20111128000628 |
| Provider Name | Corey D Finch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407903644 PECOS PAC ID: 3870774250 Enrollment ID: I20120202000898 |
| Provider Name | Tamara Altstatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952679086 PECOS PAC ID: 1658532122 Enrollment ID: I20120410000097 |
| Provider Name | Ashley Ford |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366761173 PECOS PAC ID: 7214171487 Enrollment ID: I20130910000742 |
| Provider Name | Tabathya Starr Taliaferro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902218548 PECOS PAC ID: 4880819077 Enrollment ID: I20140701002316 |
| Provider Name | Bart Anthony Burdick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063815546 PECOS PAC ID: 2062634769 Enrollment ID: I20141113001027 |
| Provider Name | Jessica Deppen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659774131 PECOS PAC ID: 3779624317 Enrollment ID: I20151102002151 |
| Provider Name | Brooke B Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013361617 PECOS PAC ID: 5294021036 Enrollment ID: I20160906000325 |
| Provider Name | Magesh Sathaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996157 PECOS PAC ID: 6800105412 Enrollment ID: I20161114001897 |
| Provider Name | Ladonna Culp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114463981 PECOS PAC ID: 9931478781 Enrollment ID: I20170711000124 |
| Provider Name | Julia Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215451455 PECOS PAC ID: 1254570914 Enrollment ID: I20170829003890 |
| Provider Name | Lyndsey Heller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811444078 PECOS PAC ID: 1759655426 Enrollment ID: I20170919001507 |
| Provider Name | Brooke E Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912487489 PECOS PAC ID: 2466704093 Enrollment ID: I20181010001199 |
| Provider Name | Jacqueline Ann Yarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124536388 PECOS PAC ID: 0941118152 Enrollment ID: I20181030001666 |
| Provider Name | Kristin Corbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780169631 PECOS PAC ID: 6204174741 Enrollment ID: I20190208000603 |
| Provider Name | Karen Louise Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821561770 PECOS PAC ID: 2668715640 Enrollment ID: I20190514002255 |
| Provider Name | Steven Bednarczyk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245593581 PECOS PAC ID: 8426074170 Enrollment ID: I20200421002407 |
| Provider Name | Stephanie Michelle Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124648746 PECOS PAC ID: 6103245386 Enrollment ID: I20201008000430 |
| Provider Name | Madison Nicole Hibbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508522871 PECOS PAC ID: 6709276124 Enrollment ID: I20211129001763 |
| Provider Name | Toni Headstream |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033849963 PECOS PAC ID: 1254468689 Enrollment ID: I20220913000425 |
| Provider Name | Tamera Lynn Casady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356810444 PECOS PAC ID: 5799142410 Enrollment ID: I20230612000072 |
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 |