| Spillars Medical, P.c. | |
|
8803 S 101st East Ave Suite 295 Tulsa OK 74133-5726 | |
| (918) 294-9865 | |
| (918) 294-9866 |
| Full Name | Spillars Medical, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 8803 S 101st East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Rodger Brannon Spillars (OWNER) |
| Authorized Official Contact | 9182949865 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Spillars Medical, P.c. 8803 S 101st East Ave Suite 295 Tulsa OK 74133-5726 Ph: (918) 294-9865 | Spillars Medical, P.c. 8803 S 101st East Ave Suite 295 Tulsa OK 74133-5726 Ph: (918) 294-9865 |
| NPI Number | 1487859237 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 06/22/2010 |
| Medicare PECOS PAC ID | 9638361967 |
|---|---|
| Medicare Enrollment ID | O20101005001115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487859237 | NPI | - | NPPES |
| 100132160C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Rodger B Spillars |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679508568 PECOS PAC ID: 6800935024 Enrollment ID: I20101005001166 |
| Provider Name | Sheila Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508224882 PECOS PAC ID: 2062718620 Enrollment ID: I20160308000288 |
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