| Neuropathy Treatment Clinic Of Oklahoma Llc | |
|
4636 S Harvard Ave Ste 102 Tulsa OK 74135-2908 | |
| (918) 708-1816 | |
| Not Available |
| Full Name | Neuropathy Treatment Clinic Of Oklahoma Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4636 S Harvard Ave Ste 102, Tulsa, Oklahoma |
| Authorized Official Name and Position | James Warren Linn (OWNER, CEO) |
| Authorized Official Contact | 9187081816 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropathy Treatment Clinic Of Oklahoma Llc 4636 S Harvard Ave Ste 102 Tulsa OK 74135-2908 Ph: (918) 708-1816 | Neuropathy Treatment Clinic Of Oklahoma Llc 4636 S Harvard Ave Ste 102 Tulsa OK 74135-2908 Ph: (918) 708-1816 |
| NPI Number | 1386185353 |
|---|---|
| Provider Enumeration Date | 03/10/2017 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 5799025268 |
|---|---|
| Medicare Enrollment ID | O20190320000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386185353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Liphard O Dsouza |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1790729150 PECOS PAC ID: 0840232856 Enrollment ID: I20050531000666 |
| Provider Name | Ladd C Atkins |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1912198375 PECOS PAC ID: 8729174842 Enrollment ID: I20071019000333 |
| Provider Name | Jennifer L Curran Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982956462 PECOS PAC ID: 2163673799 Enrollment ID: I20121108000158 |
| Provider Name | Jennifer A Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700125986 PECOS PAC ID: 7911143987 Enrollment ID: I20130417000320 |
| Provider Name | John P Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255746962 PECOS PAC ID: 2062632961 Enrollment ID: I20140926001748 |
| Provider Name | Jennifer L Hinman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538619366 PECOS PAC ID: 8224318589 Enrollment ID: I20161205000298 |
| Provider Name | Nichole L Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518409911 PECOS PAC ID: 0244514057 Enrollment ID: I20170222002346 |
| Provider Name | Tiffany Renee Hays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184182354 PECOS PAC ID: 0042545444 Enrollment ID: I20190708001370 |
| Provider Name | Nancy Ann Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194283424 PECOS PAC ID: 3870921513 Enrollment ID: I20200312000308 |
| Provider Name | Spencer Elijah Wopart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194322719 PECOS PAC ID: 1658784681 Enrollment ID: I20210111002779 |
| Provider Name | Stephanie S Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821682832 PECOS PAC ID: 5991112047 Enrollment ID: I20210407002775 |
| Provider Name | Jessica Kearney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700492618 PECOS PAC ID: 3870992522 Enrollment ID: I20210528001399 |
| Provider Name | Kristin Tidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396418679 PECOS PAC ID: 6103221239 Enrollment ID: I20210826003373 |
| Provider Name | Jaimie Peter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790489847 PECOS PAC ID: 0345607636 Enrollment ID: I20230531003357 |
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