Dr Erin Nicole Goranson, MD | |
13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 | |
(405) 252-3450 | |
(405) 252-3499 |
Full Name | Dr Erin Nicole Goranson |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 13401 N Western Ave, 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 |
---|---|---|---|
1760707863 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 29724 (Oklahoma) | Primary |
Entity Name | Erin N Goranson Md Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174397905 PECOS PAC ID: 8426491101 Enrollment ID: O20240209001152 |
Mailing Address | Practice Location Address |
---|---|
Dr Erin Nicole Goranson, MD 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 Ph: (405) 252-3450 | Dr Erin Nicole Goranson, MD 13401 N Western Ave, Suite 200, Oklahoma City, OK 73114-1407 Ph: (405) 252-3450 |
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 |