| Tulsa Hospital Medicine Physicians Group, Llc | |
|
1120 S Utica Ave Tulsa OK 74104-4090 | |
| (918) 579-1000 | |
| Not Available |
| Full Name | Tulsa Hospital Medicine Physicians Group, 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 |
|---|---|
| Tulsa Hospital Medicine Physicians Group, Llc 400 Galleria Pkwy Se Ste 1755 Atlanta GA 30339-5934 Ph: (404) 500-8147 | Tulsa Hospital Medicine Physicians Group, Llc 1120 S Utica Ave Tulsa OK 74104-4090 Ph: (918) 579-1000 |
| NPI Number | 1144982711 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 7214327832 |
|---|---|
| Medicare Enrollment ID | O20211214000389 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144982711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Deborah L Greubel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316917776 PECOS PAC ID: 6305747825 Enrollment ID: I20040117000102 |
| Provider Name | Brennon Cox |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073582821 PECOS PAC ID: 8426950866 Enrollment ID: I20040124000423 |
| Provider Name | Wesley K Maples |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013974757 PECOS PAC ID: 7911896394 Enrollment ID: I20040312001244 |
| Provider Name | Breece M Eberley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689626376 PECOS PAC ID: 6608861497 Enrollment ID: I20040420000424 |
| Provider Name | Farshid Adam Amir Zandi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578510657 PECOS PAC ID: 6709858418 Enrollment ID: I20040811001241 |
| Provider Name | Maak Dareshani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356376883 PECOS PAC ID: 0749259802 Enrollment ID: I20040927000641 |
| Provider Name | Darren Alan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285603720 PECOS PAC ID: 2163468893 Enrollment ID: I20050824000192 |
| Provider Name | Stephen T Calvert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902875420 PECOS PAC ID: 9234175969 Enrollment ID: I20050830000817 |
| Provider Name | Gerald Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779993 PECOS PAC ID: 9638105901 Enrollment ID: I20050831000510 |
| Provider Name | Sidney Lawler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578524260 PECOS PAC ID: 7719911882 Enrollment ID: I20051114000862 |
| Provider Name | Chad Keeney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134149180 PECOS PAC ID: 0042225500 Enrollment ID: I20061009000220 |
| Provider Name | Ann E Campbell |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699850800 PECOS PAC ID: 7214030311 Enrollment ID: I20070309000493 |
| Provider Name | Vallory J Tramonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790826485 PECOS PAC ID: 5991801540 Enrollment ID: I20070428000071 |
| Provider Name | Matthew Mcclure |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811038581 PECOS PAC ID: 9537265186 Enrollment ID: I20070428000075 |
| Provider Name | Hai L Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316057326 PECOS PAC ID: 4789780685 Enrollment ID: I20070510000094 |
| Provider Name | Joshua T Calvert |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992814909 PECOS PAC ID: 2163402538 Enrollment ID: I20070720000397 |
| Provider Name | Tony Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629279252 PECOS PAC ID: 9032207113 Enrollment ID: I20071127000269 |
| Provider Name | Oscar James |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629019161 PECOS PAC ID: 4688625924 Enrollment ID: I20080109000503 |
| Provider Name | Rachel A Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770755175 PECOS PAC ID: 4688739915 Enrollment ID: I20090219000421 |
| Provider Name | Zeyfoula Beytoula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144416462 PECOS PAC ID: 2264585363 Enrollment ID: I20090807000276 |
| Provider Name | David Paul D Alessandro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730239104 PECOS PAC ID: 9234285883 Enrollment ID: I20090923000191 |
| Provider Name | Janet Cheek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1083626683 PECOS PAC ID: 5799854212 Enrollment ID: I20091014000380 |
| Provider Name | Lindsey M King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235367996 PECOS PAC ID: 1658410501 Enrollment ID: I20091205000145 |
| Provider Name | Ian L Carroll |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1437105400 PECOS PAC ID: 5890741805 Enrollment ID: I20091208000759 |
| Provider Name | James Damon Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922075241 PECOS PAC ID: 1850431552 Enrollment ID: I20091210000264 |
| Provider Name | Gregory P Disalvatore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588652929 PECOS PAC ID: 8527101278 Enrollment ID: I20100203000870 |
| Provider Name | Sushanta K Goswami |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366548547 PECOS PAC ID: 1254229065 Enrollment ID: I20100216000259 |
| Provider Name | Kinya C Kamau |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1952426579 PECOS PAC ID: 5799811360 Enrollment ID: I20100407000700 |
| Provider Name | Candy L Watts |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1841525961 PECOS PAC ID: 8527196484 Enrollment ID: I20100513000553 |
| Provider Name | Jill M Lagaso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841457470 PECOS PAC ID: 5597896118 Enrollment ID: I20100625000749 |
| Provider Name | Ahmad M Gaben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417155144 PECOS PAC ID: 5294859807 Enrollment ID: I20100903000453 |
| Provider Name | Hafida R Mumallah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225283096 PECOS PAC ID: 3779772736 Enrollment ID: I20110106001056 |
| Provider Name | Kavita Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174738413 PECOS PAC ID: 5092994285 Enrollment ID: I20110119001353 |
| Provider Name | Joshua Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740596030 PECOS PAC ID: 2466633136 Enrollment ID: I20110301000387 |
| Provider Name | Patrice D Pace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164561270 PECOS PAC ID: 7517136344 Enrollment ID: I20110811000235 |
| Provider Name | Allan Suttle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861654097 PECOS PAC ID: 2860663457 Enrollment ID: I20110910002927 |
| Provider Name | Brent C Mcanulty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023201720 PECOS PAC ID: 6709057177 Enrollment ID: I20110914000636 |
| Provider Name | Joel A Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932428661 PECOS PAC ID: 3173780806 Enrollment ID: I20120207000560 |
| Provider Name | Sara A Rafael |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326369646 PECOS PAC ID: 5991963837 Enrollment ID: I20120222001001 |
| Provider Name | Monica Saenz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558309278 PECOS PAC ID: 5597744169 Enrollment ID: I20120313000439 |
| Provider Name | Huy Quoc Luu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124318985 PECOS PAC ID: 9830355338 Enrollment ID: I20120727000658 |
| Provider Name | Andrea Johns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922367101 PECOS PAC ID: 9032367339 Enrollment ID: I20120911000661 |
| Provider Name | Tetyana V Klimenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962744359 PECOS PAC ID: 5890934285 Enrollment ID: I20130614000495 |
| Provider Name | Edie A Carey |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104142843 PECOS PAC ID: 1951542919 Enrollment ID: I20130802000464 |
| Provider Name | Jacob Daniel Doyle |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992021919 PECOS PAC ID: 5395989404 Enrollment ID: I20130911000416 |
| Provider Name | Trang H Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790006591 PECOS PAC ID: 6406007848 Enrollment ID: I20130917000291 |
| Provider Name | Priti Gurung |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518278506 PECOS PAC ID: 3870727399 Enrollment ID: I20131016000035 |
| Provider Name | John T Whitaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205195443 PECOS PAC ID: 8628207040 Enrollment ID: I20140206000436 |
| Provider Name | Sergii Vjocheslavovitch Alekseiev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669758496 PECOS PAC ID: 9133359946 Enrollment ID: I20140222000388 |
| Provider Name | Stanley W Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114354727 PECOS PAC ID: 6204067523 Enrollment ID: I20140328001506 |
| Provider Name | Kelsey Ray Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245657378 PECOS PAC ID: 0042435992 Enrollment ID: I20140709000094 |
| Provider Name | Mary Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578976551 PECOS PAC ID: 6103042643 Enrollment ID: I20140718001562 |
| Provider Name | Gary Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134410251 PECOS PAC ID: 9931331337 Enrollment ID: I20140916000976 |
| Provider Name | Hariprasad S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20140929002212 |
| Provider Name | George C Obinero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215169321 PECOS PAC ID: 4981852233 Enrollment ID: I20141106001871 |
| Provider Name | Sunayna Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649483728 PECOS PAC ID: 9133442254 Enrollment ID: I20141222001725 |
| Provider Name | Violet K Darrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124425046 PECOS PAC ID: 3476876277 Enrollment ID: I20141231002008 |
| Provider Name | Brian Howell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538564729 PECOS PAC ID: 6507180239 Enrollment ID: I20150128001276 |
| Provider Name | Fidelis Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20150413001070 |
| Provider Name | Amy L Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306264676 PECOS PAC ID: 0042538126 Enrollment ID: I20150422000270 |
| Provider Name | Merry Huber |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1720499585 PECOS PAC ID: 2860710894 Enrollment ID: I20150423000246 |
| Provider Name | Kala Renee Hatch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922015239 PECOS PAC ID: 6709925563 Enrollment ID: I20150428000577 |
| Provider Name | Venkatasubbaraya C Achanta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780693648 PECOS PAC ID: 2163423047 Enrollment ID: I20150507001186 |
| Provider Name | Emenike Johnpaul Uba |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316298979 PECOS PAC ID: 0143531756 Enrollment ID: I20150624000502 |
| Provider Name | Joshua Adam Moushon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487035770 PECOS PAC ID: 4183938814 Enrollment ID: I20150807014996 |
| Provider Name | Megan Clarkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780965343 PECOS PAC ID: 1850525387 Enrollment ID: I20151008002025 |
| Provider Name | Scott Street |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700014271 PECOS PAC ID: 9436334463 Enrollment ID: I20151014000540 |
| Provider Name | Timothy Condie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326468281 PECOS PAC ID: 4183933104 Enrollment ID: I20151014000916 |
| Provider Name | Quanisha Roberson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033593207 PECOS PAC ID: 9638479843 Enrollment ID: I20151119001527 |
| Provider Name | Valerie Hazlip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982076642 PECOS PAC ID: 0547562357 Enrollment ID: I20160112000466 |
| Provider Name | William Timothy Pope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235595125 PECOS PAC ID: 7214233402 Enrollment ID: I20160315000877 |
| Provider Name | Richard James Pearson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326484429 PECOS PAC ID: 4981993185 Enrollment ID: I20160511001017 |
| Provider Name | Dallas Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336500701 PECOS PAC ID: 4981994845 Enrollment ID: I20160606000292 |
| Provider Name | Maria Super |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619310422 PECOS PAC ID: 3476843095 Enrollment ID: I20160609000993 |
| Provider Name | Nigel Naman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184069080 PECOS PAC ID: 8921392333 Enrollment ID: I20160808002606 |
| Provider Name | Leonard Lacefield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447590088 PECOS PAC ID: 2769777101 Enrollment ID: I20160824000227 |
| Provider Name | Lindsey T Tricinella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679892764 PECOS PAC ID: 4284877697 Enrollment ID: I20161019002832 |
| Provider Name | Jared D Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003279498 PECOS PAC ID: 4688952914 Enrollment ID: I20161020001890 |
| Provider Name | Katie M Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023562204 PECOS PAC ID: 8921388877 Enrollment ID: I20161210000095 |
| Provider Name | Angela Dawn July |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063958130 PECOS PAC ID: 4587946546 Enrollment ID: I20170126002628 |
| Provider Name | John Gemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791760 PECOS PAC ID: 4789954769 Enrollment ID: I20170725000354 |
| Provider Name | Laquichesha L Trotter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972038602 PECOS PAC ID: 3476826165 Enrollment ID: I20170831000541 |
| Provider Name | Audrianna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
| Provider Name | Deepthi Kotihal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154581841 PECOS PAC ID: 6204961659 Enrollment ID: I20171011001991 |
| Provider Name | Veronika Joel Gaikwad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356868764 PECOS PAC ID: 9537435490 Enrollment ID: I20171019002077 |
| Provider Name | Linda Ngorima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073026399 PECOS PAC ID: 7618236050 Enrollment ID: I20180111000027 |
| Provider Name | Elizabeth Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104324615 PECOS PAC ID: 4284997693 Enrollment ID: I20180418000845 |
| Provider Name | Briana Marie Nesst |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780022376 PECOS PAC ID: 1355697616 Enrollment ID: I20180629000792 |
| Provider Name | Jordon Holt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427437524 PECOS PAC ID: 4981916822 Enrollment ID: I20180813000136 |
| Provider Name | Kiran Shahzadi Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215422670 PECOS PAC ID: 0941559249 Enrollment ID: I20180820003073 |
| Provider Name | Jacqueline Gilmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972955748 PECOS PAC ID: 6507116043 Enrollment ID: I20180905000526 |
| Provider Name | Andrea Diane Byford |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356828594 PECOS PAC ID: 7618228628 Enrollment ID: I20181001001184 |
| Provider Name | Natalie Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144707340 PECOS PAC ID: 9133471428 Enrollment ID: I20181015003365 |
| Provider Name | Grisel Yuliana Quiroz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598152191 PECOS PAC ID: 2264784578 Enrollment ID: I20181016000966 |
| Provider Name | Suma Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740767029 PECOS PAC ID: 7911259148 Enrollment ID: I20181016001985 |
| Provider Name | David Mcvay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154857043 PECOS PAC ID: 2365795689 Enrollment ID: I20181101003207 |
| Provider Name | Christie D Shelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093280349 PECOS PAC ID: 9234483686 Enrollment ID: I20181121001353 |
| Provider Name | Anastasia Diane Deroussel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548793631 PECOS PAC ID: 4385981042 Enrollment ID: I20190204001260 |
| Provider Name | Crystal Lynn Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659840213 PECOS PAC ID: 7618216540 Enrollment ID: I20190311002139 |
| Provider Name | Jennifer F Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255890935 PECOS PAC ID: 4284975947 Enrollment ID: I20190405000580 |
| Provider Name | Kate Suzanne Langston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770054579 PECOS PAC ID: 4183965205 Enrollment ID: I20190417002123 |
| Provider Name | Bienvenue M Knowles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689237109 PECOS PAC ID: 7719212422 Enrollment ID: I20190717000553 |
| Provider Name | Hayden Md Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508276601 PECOS PAC ID: 4587886072 Enrollment ID: I20190722001974 |
| Provider Name | Ukana Bassey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356628812 PECOS PAC ID: 8527293331 Enrollment ID: I20190729001705 |
| Provider Name | Areeb Bangash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710361506 PECOS PAC ID: 7012246754 Enrollment ID: I20190905003200 |
| Provider Name | Joel Phillips Slaughter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932696937 PECOS PAC ID: 1759612864 Enrollment ID: I20191003002066 |
| Provider Name | Shaila Shanchita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780065342 PECOS PAC ID: 0749536472 Enrollment ID: I20191122001548 |
| Provider Name | Ezekiel Wang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134653926 PECOS PAC ID: 0345673471 Enrollment ID: I20191204001157 |
| Provider Name | Jessica Lynn Shook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528438942 PECOS PAC ID: 1951736008 Enrollment ID: I20200117000355 |
| Provider Name | Melissa White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164072534 PECOS PAC ID: 3678902178 Enrollment ID: I20200403003161 |
| Provider Name | Amber Garretson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457812752 PECOS PAC ID: 8022447283 Enrollment ID: I20200409000818 |
| Provider Name | Sarah Brigham |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881071702 PECOS PAC ID: 9739436601 Enrollment ID: I20200410000341 |
| Provider Name | Tina Marie Gale-bickett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770115446 PECOS PAC ID: 3072942150 Enrollment ID: I20200413000910 |
| Provider Name | Russell Brown |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770003063 PECOS PAC ID: 1557783206 Enrollment ID: I20200625000830 |
| Provider Name | Amru M. Swar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629500517 PECOS PAC ID: 5890111520 Enrollment ID: I20200812002226 |
| Provider Name | Emily Suku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922622869 PECOS PAC ID: 4789002221 Enrollment ID: I20200915001499 |
| Provider Name | Yuan I Scarlet Chou |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326537275 PECOS PAC ID: 3375954746 Enrollment ID: I20201117000518 |
| Provider Name | Amber Michelle Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356945331 PECOS PAC ID: 9830502418 Enrollment ID: I20201229002176 |
| Provider Name | Derrick Lugano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033704168 PECOS PAC ID: 1355759051 Enrollment ID: I20210419001262 |
| Provider Name | Melynda Sample |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831693951 PECOS PAC ID: 1254761109 Enrollment ID: I20210512001124 |
| Provider Name | Vedmia L Fonkem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801383005 PECOS PAC ID: 9436564101 Enrollment ID: I20210526002096 |
| Provider Name | Queen Erue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659955771 PECOS PAC ID: 1759780554 Enrollment ID: I20210527002032 |
| Provider Name | Judd W Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235628918 PECOS PAC ID: 8628478369 Enrollment ID: I20210616003142 |
| Provider Name | Wesley Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346778669 PECOS PAC ID: 5496085672 Enrollment ID: I20210624002917 |
| Provider Name | Jason John |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508355892 PECOS PAC ID: 3870848641 Enrollment ID: I20210817002556 |
| Provider Name | Audrey Leanne Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528555372 PECOS PAC ID: 4486051166 Enrollment ID: I20210922003048 |
| Provider Name | Jack Test |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033648951 PECOS PAC ID: 5193095792 Enrollment ID: I20210929003235 |
| Provider Name | Priyanka Vallabhaneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104190032 PECOS PAC ID: 8426270091 Enrollment ID: I20211109000428 |
| Provider Name | Lauren Elizabeth Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659033363 PECOS PAC ID: 6608265210 Enrollment ID: I20211118003001 |
| Provider Name | Daniel Reikher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881048445 PECOS PAC ID: 3870836786 Enrollment ID: I20220329002594 |
| Provider Name | Asad Mohmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336349182 PECOS PAC ID: 2668543745 Enrollment ID: I20220427002294 |
| Provider Name | Mohammad Q Baig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881000958 PECOS PAC ID: 4688893100 Enrollment ID: I20220521000396 |
| Provider Name | Zubaer Dawlah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679573299 PECOS PAC ID: 4486657939 Enrollment ID: I20220525000071 |
| Provider Name | Luma Al Dabbagh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245728542 PECOS PAC ID: 0244633519 Enrollment ID: I20220525002210 |
| Provider Name | Rachael Ann Cobbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841759701 PECOS PAC ID: 0648659144 Enrollment ID: I20220613002933 |
| Provider Name | Kaneza W Bgoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922398940 PECOS PAC ID: 1153612783 Enrollment ID: I20220622000122 |
| Provider Name | Michael Caniglia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376033605 PECOS PAC ID: 6305248550 Enrollment ID: I20220622002726 |
| Provider Name | Abhilash Makkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750603270 PECOS PAC ID: 1254463961 Enrollment ID: I20220630000754 |
| Provider Name | Mohamed S Eslam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710440631 PECOS PAC ID: 4082094339 Enrollment ID: I20220705002863 |
| Provider Name | Ryan Reynolds |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114459278 PECOS PAC ID: 9537585989 Enrollment ID: I20220708000238 |
| Provider Name | Eleonor Rongo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447514963 PECOS PAC ID: 5799004974 Enrollment ID: I20220715000286 |
| Provider Name | Amir Ashiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063074342 PECOS PAC ID: 3173850773 Enrollment ID: I20220720001868 |
| Provider Name | Rami Al Khoury |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487207585 PECOS PAC ID: 8224369616 Enrollment ID: I20220729002378 |
| Provider Name | Cedric Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20220818000176 |
| Provider Name | Pravin Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528610953 PECOS PAC ID: 8325422363 Enrollment ID: I20220825001097 |
| Provider Name | Jessica Grayson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598496051 PECOS PAC ID: 9739564360 Enrollment ID: I20220919002298 |
| Provider Name | Saadia Bader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689151532 PECOS PAC ID: 4688050446 Enrollment ID: I20220930001859 |
| Provider Name | Melinda Stafford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922732478 PECOS PAC ID: 8628444973 Enrollment ID: I20221012001133 |
| Provider Name | Bradley Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477016319 PECOS PAC ID: 8426439969 Enrollment ID: I20221012002761 |
| Provider Name | Katherine A Miller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811553761 PECOS PAC ID: 4284003823 Enrollment ID: I20221203000248 |
| Provider Name | Eugene Rizzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497875868 PECOS PAC ID: 8123420379 Enrollment ID: I20230104000188 |
| Provider Name | Austin J Gajewski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992292429 PECOS PAC ID: 6507269800 Enrollment ID: I20230110000075 |
| Provider Name | Omotade Ademoye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073222055 PECOS PAC ID: 2567833171 Enrollment ID: I20230118002007 |
| Provider Name | Tochukwu Nzeako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982107595 PECOS PAC ID: 6305249798 Enrollment ID: I20230214000394 |
| Provider Name | Sommer Hood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053027615 PECOS PAC ID: 5799158580 Enrollment ID: I20230225000037 |
| Provider Name | Angel Stephen Leo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992388722 PECOS PAC ID: 6103290523 Enrollment ID: I20230324001869 |
| Provider Name | Christina Joy Lansdowne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932815271 PECOS PAC ID: 0547634958 Enrollment ID: I20230327002572 |
| Provider Name | Sia Samantha Vue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811544968 PECOS PAC ID: 1850623844 Enrollment ID: I20230410000391 |
| Provider Name | Bryan Lee Stroud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942659362 PECOS PAC ID: 7416283759 Enrollment ID: I20230418000632 |
| Provider Name | Stuart Jack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255950713 PECOS PAC ID: 9335514686 Enrollment ID: I20230419000408 |
| Provider Name | Stephanie Teja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205320355 PECOS PAC ID: 9830422120 Enrollment ID: I20230516000052 |
| Provider Name | Autumn Slaton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528766979 PECOS PAC ID: 7719343805 Enrollment ID: I20230516000471 |
| Provider Name | Jennifer Cox |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568099794 PECOS PAC ID: 2264898808 Enrollment ID: I20230524000051 |
| Provider Name | Oluwafisayo Oni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295293157 PECOS PAC ID: 5597198820 Enrollment ID: I20230615003527 |
| Provider Name | Brian David Moran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457004970 PECOS PAC ID: 7911354105 Enrollment ID: I20231109001225 |
| Provider Name | Emeka Agudile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073139176 PECOS PAC ID: 0244638484 Enrollment ID: I20231117002769 |
| Provider Name | Melissa Kate Riley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508430836 PECOS PAC ID: 9234574062 Enrollment ID: I20240301003073 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20240307003524 |
| Provider Name | Kishen Patel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740817519 PECOS PAC ID: 5890133433 Enrollment ID: I20240402003078 |
| Provider Name | Zachary Griffin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922685049 PECOS PAC ID: 1759720501 Enrollment ID: I20240412003687 |
| Provider Name | Brandon Edward Quinn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598335457 PECOS PAC ID: 1254772155 Enrollment ID: I20240509001459 |
| Provider Name | Raymon John Carabajal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821748989 PECOS PAC ID: 3870035868 Enrollment ID: I20240605002879 |
| Provider Name | Brooke Reeves |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659941417 PECOS PAC ID: 0244774420 Enrollment ID: I20240628000827 |
| Provider Name | Katherine Sue O'dell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518738491 PECOS PAC ID: 5799229449 Enrollment ID: I20240705000429 |
| Provider Name | Sean Huff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629659255 PECOS PAC ID: 9830634997 Enrollment ID: I20240712001909 |
| Provider Name | Taylor Mackenzie Greene |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598393795 PECOS PAC ID: 4385180041 Enrollment ID: I20240718002526 |
| Provider Name | Nataliya Polito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306259361 PECOS PAC ID: 3971922014 Enrollment ID: I20241003000456 |
| Provider Name | Tyler Mcmillan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801148598 PECOS PAC ID: 8325579113 Enrollment ID: I20241003003167 |
| Provider Name | Elissa Sy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003650888 PECOS PAC ID: 5092249110 Enrollment ID: I20241113000022 |
| Provider Name | Mitchell Scott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215699236 PECOS PAC ID: 5092242719 Enrollment ID: I20241219001406 |
| Provider Name | Antoine Egbe Bessong Tabot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629648308 PECOS PAC ID: 9537690813 Enrollment ID: I20250207001644 |
| Provider Name | Laura Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194546069 PECOS PAC ID: 7416477724 Enrollment ID: I20250217002671 |
| Provider Name | Stephanie Igtiben |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770045791 PECOS PAC ID: 6800279969 Enrollment ID: I20250227000933 |
| Provider Name | Micah Gerakinis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225723539 PECOS PAC ID: 8527589381 Enrollment ID: I20250310000978 |
| Provider Name | Tara Dawn Boland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417519018 PECOS PAC ID: 2365774171 Enrollment ID: I20250326001860 |
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 |