| Oklahoma Infectious Disease Specialists, Llc | |
|
1120 S Utica Ave Tulsa OK 74104-4012 | |
| (918) 579-1000 | |
| Not Available |
| Full Name | Oklahoma Infectious Disease Specialists, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Boykin Robinson (CEO) |
| Authorized Official Contact | 4045008147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Infectious Disease Specialists, Llc 400 Galleria Pkwy Se Ste 1755 Atlanta GA 30339-5934 Ph: (404) 500-8147 | Oklahoma Infectious Disease Specialists, Llc 1120 S Utica Ave Tulsa OK 74104-4012 Ph: (918) 579-1000 |
| NPI Number | 1497417067 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 4183011026 |
|---|---|
| Medicare Enrollment ID | O20220425001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497417067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Gerald Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779993 PECOS PAC ID: 9638105901 Enrollment ID: I20050831000510 |
| Provider Name | Vallory J Tramonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790826485 PECOS PAC ID: 5991801540 Enrollment ID: I20070428000071 |
| Provider Name | Stanley W Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114354727 PECOS PAC ID: 6204067523 Enrollment ID: I20140328001506 |
| Provider Name | John Gemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791760 PECOS PAC ID: 4789954769 Enrollment ID: I20170725000354 |
| Provider Name | Daniel Scheurich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20191015002814 |
| Provider Name | Queen Erue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659955771 PECOS PAC ID: 1759780554 Enrollment ID: I20210527002032 |
| Provider Name | Asad Mohmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336349182 PECOS PAC ID: 2668543745 Enrollment ID: I20220427002294 |
| Provider Name | Aria Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154566412 PECOS PAC ID: 7517112683 Enrollment ID: I20220518002553 |
| Provider Name | Lysenia Mojica |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215256649 PECOS PAC ID: 0446577399 Enrollment ID: I20220526001122 |
Tulsa Internal Medicine Physicians, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 S Wheeling Ave, Ste 1000, Tulsa, OK 74104 Phone: 918-748-8467 | |
Susan C. Willard, Do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 Phone: 918-740-4630 Fax: 918-289-0091 | |
Gamble Family Medical Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4134 S Harvard Ave Ste B3, Tulsa, OK 74135 Phone: 918-442-2236 Fax: 918-794-2333 | |
Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
Qt Quikmed Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4705 S 129th East Ave, Tulsa, OK 74134 Phone: 918-994-3953 | |
Shepcole, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1532 S Peoria Ave, Tulsa, OK 74120 Phone: 918-609-5600 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 N 161st East Ave, Tulsa, OK 74116 Phone: 800-993-8244 |