Physicians At Home, Inc | |
511 E 1st St Chandler OK 74834-2439 | |
(405) 654-0013 | |
(405) 654-0012 |
Full Name | Physicians At Home, Inc |
---|---|
Speciality | General Practice |
Location | 511 E 1st St, Chandler, Oklahoma |
Authorized Official Name and Position | Samantha Bollich (ALT. MANAGER) |
Authorized Official Contact | 4056540013 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Physicians At Home, Inc 511 E 1st St Chandler OK 74834-2439 Ph: (405) 654-0013 | Physicians At Home, Inc 511 E 1st St Chandler OK 74834-2439 Ph: (405) 654-0013 |
NPI Number | 1447659768 |
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Provider Enumeration Date | 08/22/2014 |
Last Update Date | 03/31/2021 |
Medicare PECOS PAC ID | 7012138662 |
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Medicare Enrollment ID | O20141023000670 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447659768 | NPI | - | NPPES |
200564250C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Long T Nguyen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811956006 PECOS PAC ID: 2163413543 Enrollment ID: I20040524000651 |
Provider Name | Sherry A Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508059114 PECOS PAC ID: 3678645546 Enrollment ID: I20080709000522 |
Provider Name | Margaret Lorimor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790735371 PECOS PAC ID: 5395776959 Enrollment ID: I20080925000599 |
Provider Name | Alex Dwuma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417275041 PECOS PAC ID: 5698926111 Enrollment ID: I20131217000808 |
Provider Name | Regina Wheeler |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1528408937 PECOS PAC ID: 3779711056 Enrollment ID: I20140113000942 |
Provider Name | David Dawson |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1053340505 PECOS PAC ID: 9830176106 Enrollment ID: I20160503000107 |
Provider Name | Jimmy Bui |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1649653833 PECOS PAC ID: 4981909462 Enrollment ID: I20160809000605 |
Provider Name | Nadine F Touayem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700302072 PECOS PAC ID: 8921374182 Enrollment ID: I20171017000431 |
Provider Name | Nicole Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699276402 PECOS PAC ID: 2264796275 Enrollment ID: I20180427000897 |
Provider Name | Tracy D Bates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174063580 PECOS PAC ID: 8729356738 Enrollment ID: I20180605003154 |
Provider Name | Angela Christine Mccoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073018487 PECOS PAC ID: 7214288596 Enrollment ID: I20180926000121 |
Provider Name | Amber Nicole Ellis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144705849 PECOS PAC ID: 2264770106 Enrollment ID: I20190219000817 |
Provider Name | Susan Alfert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457831943 PECOS PAC ID: 6901134972 Enrollment ID: I20190829000412 |
Provider Name | Amber L Surz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619524683 PECOS PAC ID: 1456683564 Enrollment ID: I20191022003254 |
Provider Name | Randi J Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588299952 PECOS PAC ID: 1052740925 Enrollment ID: I20200330000889 |
Provider Name | Fidelia Nabi Nitah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134713373 PECOS PAC ID: 0749696318 Enrollment ID: I20210305000108 |
Provider Name | Krista Pritchard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780203075 PECOS PAC ID: 7315343571 Enrollment ID: I20210914000929 |
Provider Name | Dao The Anh Goodnight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184234148 PECOS PAC ID: 9638569023 Enrollment ID: I20211129000292 |
Provider Name | Moriam Bolare Na-allah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285283176 PECOS PAC ID: 4486045408 Enrollment ID: I20211230002085 |
Provider Name | Kandice Danielle Haines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306504964 PECOS PAC ID: 3375934037 Enrollment ID: I20220106002875 |
Provider Name | Diana Chapman Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730841982 PECOS PAC ID: 5294105821 Enrollment ID: I20221222002776 |
Provider Name | My Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043929359 PECOS PAC ID: 6103298799 Enrollment ID: I20230208000243 |
Provider Name | Anny Lou Mandapat Dunham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194368316 PECOS PAC ID: 3476926015 Enrollment ID: I20230302001307 |
Provider Name | Kendra Kirkendall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497243851 PECOS PAC ID: 5890169627 Enrollment ID: I20230320000005 |
Provider Name | Arika L Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588365936 PECOS PAC ID: 6002271178 Enrollment ID: I20230424002634 |
Provider Name | Cristen Degraffenreid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093497885 PECOS PAC ID: 5092161265 Enrollment ID: I20231024001977 |
Mark G Miles Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 339350 E 850 Rd, Chandler, OK 74834 Phone: 405-601-6181 Fax: 405-601-7012 | |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Mckinley Ave, Chandler, OK 74834 Phone: 405-424-7711 | |
St. Anthony Physicians Chandler Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Highway 18, Chandler, OK 74834 Phone: 405-258-2500 Fax: 405-258-3053 | |
Chandler Clinic A Division Of Plaza Medical Group, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 N Highway 18, Chandler, OK 74834 Phone: 405-258-2500 | |
Chandler Outreach Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Manvel Ave, Ste C, Chandler, OK 74834 Phone: 405-258-5252 Fax: 405-258-5552 | |
Best Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 E 1st St, Chandler, OK 74834 Phone: 405-654-0013 |