| Metro Healthcare Services Llc | |
|
1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 | |
| (405) 272-4978 | |
| (405) 772-4435 |
| Full Name | Metro Healthcare Services Llc |
|---|---|
| Speciality | Specialist |
| Location | 1111 N Lee Ave Ste 305, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Matthew Jared (PHYSICIAN & OWNER) |
| Authorized Official Contact | 4052724978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro Healthcare Services Llc 1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 Ph: (405) 272-4978 | Metro Healthcare Services Llc 1111 N Lee Ave Ste 305 Oklahoma City OK 73103-2620 Ph: (405) 272-4978 |
| NPI Number | 1194558304 |
|---|---|
| Provider Enumeration Date | 08/22/2024 |
| Last Update Date | 09/25/2024 |
| Medicare PECOS PAC ID | 7618400557 |
|---|---|
| Medicare Enrollment ID | O20241030001695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194558304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Wickersham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992706048 PECOS PAC ID: 8224924337 Enrollment ID: I20040228000307 |
| Provider Name | Gary Dean Riggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902821085 PECOS PAC ID: 2961491865 Enrollment ID: I20040506001590 |
| Provider Name | David Rothwell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417929308 PECOS PAC ID: 2567423239 Enrollment ID: I20041029000447 |
| Provider Name | Heidi C Erickson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871598508 PECOS PAC ID: 8820078777 Enrollment ID: I20070830000709 |
| Provider Name | Ricky G Swaim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972617231 PECOS PAC ID: 7517964596 Enrollment ID: I20080811000764 |
| Provider Name | Stephen Koji Sparks |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821274234 PECOS PAC ID: 4183752322 Enrollment ID: I20100510000671 |
| Provider Name | Mayank N Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275738148 PECOS PAC ID: 3779608922 Enrollment ID: I20100913000323 |
| Provider Name | Jodilyn Nicolas Caguioa-aquino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649430737 PECOS PAC ID: 2769655687 Enrollment ID: I20111109000213 |
| Provider Name | Matthew J Jared |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205060183 PECOS PAC ID: 2264609916 Enrollment ID: I20120119000914 |
| Provider Name | Julide D Akman-carmichael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518287713 PECOS PAC ID: 7113165242 Enrollment ID: I20130601000103 |
| Provider Name | Shoaib Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1255651477 PECOS PAC ID: 8527208040 Enrollment ID: I20130705000364 |
| Provider Name | Nicholas Edward O'bright |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760725584 PECOS PAC ID: 2163731621 Enrollment ID: I20151023000027 |
| Provider Name | Ayesha Mughal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811243009 PECOS PAC ID: 2365663325 Enrollment ID: I20170123002465 |
| Provider Name | Amar Kirti Dadwal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649615105 PECOS PAC ID: 0840599619 Enrollment ID: I20170710000642 |
| Provider Name | Syed Hamza Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396123535 PECOS PAC ID: 4385916964 Enrollment ID: I20170816002736 |
| Provider Name | Nazir Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982015962 PECOS PAC ID: 8921370370 Enrollment ID: I20170818001773 |
| Provider Name | Emily A Lamirand Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023549664 PECOS PAC ID: 4486927142 Enrollment ID: I20170831003177 |
| Provider Name | Stephanie Nicole Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932610383 PECOS PAC ID: 3375803315 Enrollment ID: I20180212001720 |
| Provider Name | Julie St John Mahaney |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841679701 PECOS PAC ID: 5890002711 Enrollment ID: I20180703002125 |
| Provider Name | Charles Tate Woodward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760606917 PECOS PAC ID: 5395839294 Enrollment ID: I20190130002827 |
| Provider Name | Brindha Gopala Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407208804 PECOS PAC ID: 1052645140 Enrollment ID: I20190624001808 |
| Provider Name | Sidney Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356795660 PECOS PAC ID: 6406137231 Enrollment ID: I20190729000187 |
| Provider Name | Samiya Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265896161 PECOS PAC ID: 5395026256 Enrollment ID: I20190903000925 |
| Provider Name | Kenneth C Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194890848 PECOS PAC ID: 8820046949 Enrollment ID: I20210212001415 |
| Provider Name | Rebekah Olaoluwa Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821593666 PECOS PAC ID: 1254688559 Enrollment ID: I20240508004103 |
| Provider Name | Daniel K Mujuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457931545 PECOS PAC ID: 9931562659 Enrollment ID: I20240528003162 |
| Provider Name | Kaitlyn Elizabeth Reilly Hull |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508488768 PECOS PAC ID: 0648696195 Enrollment ID: I20240826004152 |
| Provider Name | Joseph Lazaro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922684927 PECOS PAC ID: 0244630481 Enrollment ID: I20241122002228 |
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