Mitchell West, | |
11200 N Portland Ave, Oklahoma City, OK 73120-5045 | |
(405) 936-1500 | |
Not Available |
Full Name | Mitchell West |
---|---|
Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 11200 N Portland 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 |
---|---|---|---|
1750888285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 39663 (Oklahoma) | Primary |
Entity Name | Lakeside Women's Hospital, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639170699 PECOS PAC ID: 7719888965 Enrollment ID: O20040120000317 |
Entity Name | Integris Ambulatory Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
Mailing Address | Practice Location Address |
---|---|
Mitchell West, 11101 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120-5054 Ph: (405) 936-1000 | Mitchell West, 11200 N Portland Ave, Oklahoma City, OK 73120-5045 Ph: (405) 936-1500 |
Imari Elena Moore, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120 Phone: 405-242-4030 Fax: 405-242-4031 | |
Kristine Marie Thompson, APRN-CNP Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4140 W Memorial Rd Ste 215, Oklahoma City, OK 73120 Phone: 405-242-4030 Fax: 405-242-4031 | |
John Alan Fuller, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5101 W Memorial Rd, Oklahoma City, OK 73142 Phone: 405-752-9600 Fax: 405-752-9605 | |
Ronan Alexander Bakker, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4140 W Memorial Rd Ste 321, Oklahoma City, OK 73120 Phone: 405-748-4726 Fax: 405-607-8497 | |
Dr. Megan Karolyn Marshalla, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 800 Ne 10th St, Oklahoma City, OK 73104 Phone: 405-271-7770 | |
Dr. Jennifer K. Nelson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11200 N Portland Ave, Oklahoma City, OK 73120 Phone: 405-936-1000 Fax: 405-936-1001 | |
Dr. Julie Anne Strebel, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 4200 W Memorial Rd, Suite 201, Oklahoma City, OK 73120 Phone: 405-749-4200 Fax: 405-749-4218 |