| Oklahoma Transplant Physicians Llc | |
|
920 Ne 13th St Oklahoma City OK 73104-5008 | |
| (405) 271-7498 | |
| Not Available |
| Full Name | Oklahoma Transplant Physicians Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 920 Ne 13th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Stephanie Jones (DIRECTOR OF PATIENT ACCOUNTING) |
| Authorized Official Contact | 4052718132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Transplant Physicians Llc Po Box 744495 Atlanta GA 30374-4495 Ph: (405) 271-8132 | Oklahoma Transplant Physicians Llc 920 Ne 13th St Oklahoma City OK 73104-5008 Ph: (405) 271-7498 |
| NPI Number | 1104156025 |
|---|---|
| Provider Enumeration Date | 12/29/2009 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 1456489137 |
|---|---|
| Medicare Enrollment ID | O20100524000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104156025 | NPI | - | NPPES |
| 200278760A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Terry L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083630115 PECOS PAC ID: 8325069578 Enrollment ID: I20060106000187 |
| Provider Name | Anthony Sebastian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295759215 PECOS PAC ID: 5092723775 Enrollment ID: I20060323000146 |
| Provider Name | Harlan I Wright |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386653590 PECOS PAC ID: 2062420672 Enrollment ID: I20060323000377 |
| Provider Name | Rajesh Kanagala |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1659308435 PECOS PAC ID: 4789689837 Enrollment ID: I20080331000288 |
| Provider Name | Manimehalai M Vijayan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1770729907 PECOS PAC ID: 4688706435 Enrollment ID: I20100714001027 |
| Provider Name | Alan Hawxby |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1225047145 PECOS PAC ID: 7517945991 Enrollment ID: I20110330000818 |
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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 | |
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