| Tulsa Hospitalists Inc | |
|
1145 S Utica Ave Tulsa OK 74104-4000 | |
| (918) 392-8884 | |
| (918) 392-8885 |
| Full Name | Tulsa Hospitalists Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1145 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Ziad Sous (PRESIDENT) |
| Authorized Official Contact | 9183928884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Hospitalists Inc 1611 S Utica Ave # 414 Tulsa OK 74104-4909 Ph: (918) 392-8884 | Tulsa Hospitalists Inc 1145 S Utica Ave Tulsa OK 74104-4000 Ph: (918) 392-8884 |
| NPI Number | 1659397081 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/29/2022 |
| Medicare PECOS PAC ID | 5698664894 |
|---|---|
| Medicare Enrollment ID | O20040315000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659397081 | NPI | - | NPPES |
| 100748790A | Medicaid | OK | |
| CJ8744 | Other | OK | MEDICARE RR PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ulysses Bowler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942290788 PECOS PAC ID: 2163447731 Enrollment ID: I20051012000876 |
| Provider Name | Judy Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417903329 PECOS PAC ID: 4385675958 Enrollment ID: I20051130000782 |
| Provider Name | Nancy K Vinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447319447 PECOS PAC ID: 6305846858 Enrollment ID: I20070105000372 |
| Provider Name | Kathleen B Steelberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386786911 PECOS PAC ID: 0840395729 Enrollment ID: I20070421000047 |
| Provider Name | Jose H Echevarria |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598728438 PECOS PAC ID: 4688773641 Enrollment ID: I20070616000009 |
| Provider Name | Vanlinh Pham Pyle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437204062 PECOS PAC ID: 1052411154 Enrollment ID: I20070702000478 |
| Provider Name | Rachel A Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770755175 PECOS PAC ID: 4688739915 Enrollment ID: I20090219000421 |
| Provider Name | Deepak Karibassappa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770776627 PECOS PAC ID: 9133252919 Enrollment ID: I20100730000159 |
| Provider Name | Shanna Elaine Hampton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285899872 PECOS PAC ID: 4587797931 Enrollment ID: I20100805000295 |
| Provider Name | Ziad Sous |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336102284 PECOS PAC ID: 4183513385 Enrollment ID: I20101020001036 |
| Provider Name | Morad L El-raheb |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659347326 PECOS PAC ID: 1052322658 Enrollment ID: I20101101001333 |
| Provider Name | Heather D Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558675074 PECOS PAC ID: 9335335959 Enrollment ID: I20101122001097 |
| Provider Name | Janiece Sherwood |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1730524760 PECOS PAC ID: 5597907154 Enrollment ID: I20130809000563 |
| Provider Name | Tommy Tien Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1316263106 PECOS PAC ID: 6204070337 Enrollment ID: I20130911000570 |
| Provider Name | Tuesday Dawn Guthery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902248131 PECOS PAC ID: 9234373887 Enrollment ID: I20130920000319 |
| Provider Name | Violet K Darrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124425046 PECOS PAC ID: 3476876277 Enrollment ID: I20141231002008 |
| Provider Name | Aaron Isley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427494921 PECOS PAC ID: 8729379029 Enrollment ID: I20160616000992 |
| Provider Name | Jared D Qualls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003279498 PECOS PAC ID: 4688952914 Enrollment ID: I20161020001890 |
| Provider Name | Megan Kendall Burnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790225688 PECOS PAC ID: 8224306550 Enrollment ID: I20170609001525 |
| Provider Name | Marek Oferczak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811301062 PECOS PAC ID: 2769754167 Enrollment ID: I20170819000199 |
| Provider Name | Anna Lee Miller |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780691980 PECOS PAC ID: 5698838050 Enrollment ID: I20180130001650 |
| Provider Name | Linda Ellard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265948269 PECOS PAC ID: 6901167287 Enrollment ID: I20180301000613 |
| Provider Name | Velisa Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609364314 PECOS PAC ID: 4385909084 Enrollment ID: I20180530001847 |
| Provider Name | Holly Fullbright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568916740 PECOS PAC ID: 0547556243 Enrollment ID: I20180608000361 |
| Provider Name | Jennifer F Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255890935 PECOS PAC ID: 4284975947 Enrollment ID: I20190405000580 |
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