Dr Justin Thomas Atherton, MD | |
1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 | |
(918) 301-2505 | |
(918) 744-3633 |
Full Name | Dr Justin Thomas Atherton |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 1725 E 19th St, Tulsa, 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 |
---|---|---|---|
1912935644 | NPI | - | NPPES |
100131760A | Medicaid | OK | |
020045078 | Other | OK | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 19797 (Oklahoma) | Primary |
2086S0127X | Surgery - Trauma Surgery | 19797 (Oklahoma) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 19797 (Oklahoma) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
St John Medical Center, Inc | Tulsa, OK | Hospital |
Tulsa Spine & Specialty Hospital | Tulsa, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St John Physicians Inc | 2567366495 | 221 |
Ahs Oklahoma Physician Group Llc | 9436122496 | 302 |
Entity Name | St John Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336194406 PECOS PAC ID: 2567366495 Enrollment ID: O20031121000867 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Mailing Address | Practice Location Address |
---|---|
Dr Justin Thomas Atherton, MD 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 Ph: (918) 301-2505 | Dr Justin Thomas Atherton, MD 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 Ph: (918) 301-2505 |
Alex Bryan Olsen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-1805 Fax: 918-494-4573 | |
Shelley Capehart, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 900, Tulsa, OK 74136 Phone: 918-481-4800 Fax: 918-481-4826 | |
Charles Anthony Howard, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1919 S Wheeling Ave, Suite 600, Tulsa, OK 74104 Phone: 918-744-3523 Fax: 918-744-3463 | |
Wyatt Ho, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6465 S Yale Ave, Suite 101, Tulsa, OK 74136 Phone: 918-502-7175 Fax: 918-502-7180 | |
Peter Richard Nelson, MD, MS Surgery Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave Ste 600, Tulsa, OK 74104 Phone: 918-619-4400 Fax: 918-634-7560 | |
Scott A Newbrough, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 S Wheeling Ave Ste 100, Tulsa, OK 74104 Phone: 918-403-7070 Fax: 918-403-6327 | |
Dr. Susan A Rose, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1725 E 19th St, Suite 800, Tulsa, OK 74104 Phone: 918-301-2505 Fax: 918-301-3633 |