Dr Amanda Martin, MD | |
5401 N Portland Ave Ste 500, Oklahoma City, OK 73112-2126 | |
(405) 632-6688 | |
Not Available |
Full Name | Dr Amanda Martin |
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Gender | Female |
Speciality | Pediatrics |
Location | 5401 N Portland Ave Ste 500, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1497073290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29756 (Oklahoma) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Entity Name | Variety Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780697813 PECOS PAC ID: 1557260007 Enrollment ID: O20040105000467 |
Mailing Address | Practice Location Address |
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Dr Amanda Martin, MD 3000 N Grand Blvd, Oklahoma City, OK 73107-1818 Ph: (405) 632-6688 | Dr Amanda Martin, MD 5401 N Portland Ave Ste 500, Oklahoma City, OK 73112-2126 Ph: (405) 632-6688 |
Elizabeth Clare Kutteh, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave # 14000, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Deepthi Gopinathan Nair, MBBS, DNB PEDIATRICS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Childrens Ave, Oklahoma City, OK 73104 Phone: 425-655-8633 | |
Mary Anne Mccaffree, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 Everett Dr, 7th Floor North Pavilion, Oklahoma City, OK 73104 Phone: 405-271-5215 Fax: 405-271-1236 | |
Sandra Jean Gilliland, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 500 Sw 44th St, Oklahoma City, OK 73109 Phone: 405-632-6688 Fax: 405-604-0708 | |
John August Ruth Iii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr Fl 10, Oklahoma City, OK 73104 Phone: 405-271-4417 | |
Samuel Levin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 Everett Dr, Oklahoma City, OK 73104 Phone: 405-271-5215 | |
Julie W Lees, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Phillips Ave, Suite 6100, Oklahoma City, OK 73104 Phone: 405-271-6827 Fax: 405-271-4418 |