Mr Joseph Holtzclaw, RDN | |
15951 Little Axe Dr, Norman, OK 73026-9088 | |
(405) 447-0300 | |
(405) 701-7631 |
Full Name | Mr Joseph Holtzclaw |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 17 Years |
Location | 15951 Little Axe Dr, Norman, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275112278 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2545 (Oklahoma) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Absentee Shawnee Tribal Health Authority, Inc | 5799171088 | 65 |
Provider Name | Absentee Shawnee Tribe Of Oklahoma |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942253521 PECOS PAC ID: 9335053479 Enrollment ID: O20031113000654 |
Provider Name | Li-si-wi-nwi Health, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124152962 PECOS PAC ID: 4183895519 Enrollment ID: O20130227000474 |
Provider Name | Absentee Shawnee Tribal Health Authority, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942253521 PECOS PAC ID: 5799171088 Enrollment ID: O20220414000294 |
Mailing Address | Practice Location Address |
---|---|
Mr Joseph Holtzclaw, RDN 15951 Little Axe Dr, Norman, OK 73026-9088 Ph: (405) 447-0300 | Mr Joseph Holtzclaw, RDN 15951 Little Axe Dr, Norman, OK 73026-9088 Ph: (405) 447-0300 |
Mrs. Elizabeth S Squires Stapley, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 N Porter Ave, Norman, OK 73071 Phone: 801-891-5091 | |
Lauren Annette Oakley, M.S, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-801-2323 | |
Sophia Louise Martz, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-307-2800 | |
Laura Elizabeth Stout, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2405 Palmer Cir Ste 100, Norman, OK 73069 Phone: 405-561-7928 Fax: 405-310-9944 | |
Courtney E Crouse, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2002 E Robinson St, Norman, OK 73071 Phone: 405-410-6734 | |
Jordan Lynn Chappell, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 909 26th Ave Nw, Norman, OK 73069 Phone: 405-857-7224 | |
Bryce Wentzell, Dietitian Medicare: Medicare Enrolled Practice Location: 212 N Flood Ave, Norman, OK 73069 Phone: 317-474-1762 |